Kerry Andrew Forrestal, MD | |
730 W Market St, Lima, OH 45801-4602 | |
(419) 227-3361 | |
Not Available |
Full Name | Kerry Andrew Forrestal |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 730 W Market St, Lima, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1215981220 | NPI | - | NPPES |
2535939 | Medicaid | OH | |
000000339136 | Other | OH | BCBS |
000000339136 | Other | BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 35084915 (Ohio) | Primary |
Entity Name | Emergency Service Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558340562 PECOS PAC ID: 8224024716 Enrollment ID: O20040421000848 |
Mailing Address | Practice Location Address |
---|---|
Kerry Andrew Forrestal, MD 4750 Hempstead Station Dr, Kettering, OH 45429-5164 Ph: () - | Kerry Andrew Forrestal, MD 730 W Market St, Lima, OH 45801-4602 Ph: (419) 227-3361 |
Stephanie Nicole Casey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-996-5723 | |
Susan L Payson, D.O. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Bellefontaine Ave, Lima, OH 45804 Phone: 419-228-3335 Fax: 904-805-1302 | |
Geoffrey C Mitchell, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 614-261-8256 | |
Varuna Amare Perera, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1001 Bellefontaine Ave, Lima, OH 45804 Phone: 419-228-3335 | |
Samuel Cory, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 730 W Market St, Lima, OH 45801 Phone: 419-227-3361 | |
Anthony Brym, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1001 Bellefontaine Ave, Lima, OH 45804 Phone: 419-998-4509 Fax: 304-523-2241 |