Carol G Fortune Lcsw Pa - Medicare Mental Health Clinic in The Villages, FL

Carol G Fortune Lcsw Pa is a medicare enrolled mental health clinic (Social Worker - Clinical) in The Villages, Florida. The current practice location for Carol G Fortune Lcsw Pa is 1522 Golden Ridge Dr, The Villages, Florida. For appointments, you can reach them via phone at (352) 638-2264. The mailing address for Carol G Fortune Lcsw Pa is 1522 Golden Ridge Dr, The Villages, Florida and phone number is (352) 638-2264.

Carol G Fortune Lcsw Pa is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1295292472. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (352) 638-2264.

Contact Information

Carol G Fortune Lcsw Pa
1522 Golden Ridge Dr
The Villages
FL 32162-6765
(352) 638-2264
(352) 350-7244

Mental Health Clinic Profile

Full NameCarol G Fortune Lcsw Pa
SpecialitySocial Worker
Location1522 Golden Ridge Dr, The Villages, Florida
Authorized Official Name and PositionCarol G Fortune (OWNER)
Authorized Official Contact3526382264
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carol G Fortune Lcsw Pa
1522 Golden Ridge Dr
The Villages
FL 32162-6765

Ph: (352) 638-2264
Carol G Fortune Lcsw Pa
1522 Golden Ridge Dr
The Villages
FL 32162-6765

Ph: (352) 638-2264

NPI Details:

NPI Number1295292472
Provider Enumeration Date02/25/2019
Last Update Date03/04/2019

Medicare PECOS Information:

Medicare PECOS PAC ID2264771575
Medicare Enrollment IDO20190305000622

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Medical Identifiers

Medical identifiers for Carol G Fortune Lcsw Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295292472NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Carol G Fortune Lcsw Pa acts as a billing entity for following providers:
Provider NameCarol G Fortune
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1578673083
PECOS PAC ID: 4880614361
Enrollment ID: I20060106000124

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