Benjamin Baker Fore, DO is a medicare enrolled "Pain Medicine - Pain Medicine" physician in Ardmore, Oklahoma. His current practice location is
1005 15th Ave Nw, Ardmore, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(580) 223-4800.
Benjamin Baker Fore is licensed to practice in Oklahoma (license number 2273) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922063510.
Physician's Profile
| Full Name | Benjamin Baker Fore |
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| Gender | Male |
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| Speciality | Pain Medicine - Pain Medicine |
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| Location | 1005 15th Ave Nw, Ardmore, Oklahoma |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922063510
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 04/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 5193777993
- Enrollment ID: I20050219000003
Medical Identifiers
Medical identifiers for Benjamin Baker Fore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922063510 | NPI | - | NPPES |
| 2273 | Other | OK | OKLAHOMA LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208VP0000X | Pain Medicine - Pain Medicine | 2273 (Oklahoma) | 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. Benjamin Baker Fore allows following entities to bill medicare on his behalf.
| Entity Name | Rhea Buycks Pa Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1619421377
PECOS PAC ID: 9335420801
Enrollment ID: O20161222000120 |
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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. Benjamin Baker Fore 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 |
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Benjamin Baker Fore, DO
1001 15th Ave Nw,
Ardmore, OK 73401
Ph: (580) 223-3737 | Benjamin Baker Fore, DO
1005 15th Ave Nw,
Ardmore, OK 73401-1810
Ph: (580) 223-4800 |
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