Dr Forrest Russell Gearhart, DMD is a
Dentist - General Practice based in Ft. Wainwright, Alaska. Dr Forrest Russell Gearhart is licensed to practice in Idaho (license number D-4374) and his current practice location is
3406 Alder Ave, Ft. Wainwright, Alaska. He can be reached at his office (for appointments etc.) via phone at
(907) 353-2917.
NPI number for Dr Forrest Russell Gearhart is 1225310022 and his current mailing address is 3851 Lakewood Loop, North Pole, Alaska. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225310022.
Healthcare Provider's Profile
| Full Name | Dr Forrest Russell Gearhart |
|---|
| Gender | Male |
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| Speciality | Dentist - General Practice |
|---|
| Location | 3406 Alder Ave, Ft. Wainwright, Alaska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1225310022
- Provider Enumeration Date: 09/16/2011
- Last Update Date: 09/16/2011
Medical Identifiers
Medical identifiers for Dr Forrest Russell Gearhart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225310022 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | D-4374 (Idaho) | Primary |
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. Dr Forrest Russell Gearhart is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Forrest Russell Gearhart, DMD
3851 Lakewood Loop,
North Pole, AK 99705-6282
Ph: (216) 315-4760 | Dr Forrest Russell Gearhart, DMD
3406 Alder Ave,
Ft. Wainwright, AK 99703
Ph: (907) 353-2917 |
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