Jason Forgeon, MD is a medicare enrolled "Emergency Medicine" physician in Burley, Idaho. His current practice location is
1501 Hiland Ave, Burley, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 678-4444.
Jason Forgeon is licensed to practice in Idaho (license number M-17330) 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 1952961732.
Physician's Profile
| Full Name | Jason Forgeon |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Location | 1501 Hiland Ave, Burley, Idaho |
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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: 1952961732
- Provider Enumeration Date: 06/14/2019
- Last Update Date: 07/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 7214262518
- Enrollment ID: I20230307003441
Medical Identifiers
Medical identifiers for Jason Forgeon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1952961732 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207P00000X | Emergency Medicine | MT218930 (Pennsylvania) | Secondary |
| 207P00000X | Emergency Medicine | 13034934-1205 (Utah) | Secondary |
| 207P00000X | Emergency Medicine | M-17330 (Idaho) | 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. Jason Forgeon allows following entities to bill medicare on his behalf.
| Entity Name | Lehigh Valley Physician Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457309650
PECOS PAC ID: 3072425123
Enrollment ID: O20040227000335 |
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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. Jason Forgeon 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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Jason Forgeon, MD
Po Box 30180,
Salt Lake City, UT 84130-0180
Ph: () - | Jason Forgeon, MD
1501 Hiland Ave,
Burley, ID 83318-2688
Ph: (208) 678-4444 |
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