Bonnie Forman, in Valley Cottage, NY - Medicare Speech-Language Pathologist Provider

Bonnie Forman, is a medicare enrolled "Speech-language Pathologist" provider in Valley Cottage, New York. Her current practice location is 315 Bliss Ln, Valley Cottage, New York. You can reach out to her office (for appointments etc.) via phone at (516) 851-2957.

Bonnie Forman is licensed to practice in New York (license number 009166-1) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1770760456.

Contact Information

	Bonnie Forman,
	315 Bliss Ln, Valley Cottage, NY 10989-2421
	(516) 851-2957
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Bonnie Forman
Gender	Female
Speciality	Speech-language Pathologist
Location	315 Bliss Ln, Valley Cottage, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770760456
Provider Enumeration Date: 01/25/2008
Last Update Date: 01/25/2008

Medicare PECOS Information:

PECOS PAC ID: 5395128870
Enrollment ID: I20220816002234

Medical Identifiers

Medical identifiers for Bonnie Forman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770760456	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
235Z00000X	Speech-language Pathologist	009166-1 (New York)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Bonnie Forman allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehabilitation Physical Therapy Services Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1174560650 PECOS PAC ID: 1355395179 Enrollment ID: O20061023000060

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Bonnie Forman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Bonnie Forman, 315 Bliss Ln, Valley Cottage, NY 10989-2421 Ph: () -	Bonnie Forman, 315 Bliss Ln, Valley Cottage, NY 10989-2421 Ph: (516) 851-2957

Reviews and Comments

Speech-Language Pathologist in Valley Cottage, NY

Ms. Lisa Debra Cruz, M.S.ED. Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 18 Sasson Ter, Valley Cottage, NY 10989 Phone: 718-644-2373
Mary Stephanie Alviar De Vera, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 955 Stark Ln, Valley Cottage, NY 10989 Phone: 845-538-9762
Bilingual Speech Connections Pllc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 709 Abbey Ln, Valley Cottage, NY 10989 Phone: 347-679-0809
Mrs. Shannon Lynn Bender, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 40 Forest Glen Rd, Valley Cottage, NY 10989 Phone: 845-548-1673 Fax: 845-268-3205
Natalie R Carbone, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 22 Connecticut Ct, Valley Cottage, NY 10989 Phone: 845-422-7663
Mrs. Rita Erlbaum Kotorac, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 485 Mitchell Dr, Valley Cottage, NY 10989 Phone: 845-268-8001

Bonnie Forman, - Medicare Speech-Language Pathologist in Valley Cottage, NY