Mark D Forrestal, MD is a medicare enrolled "Phlebology" physician in Arlington Heights, Illinois. His current practice location is
1410 N Arlington Heights Rd, Ste 300, Arlington Heights, Illinois. You can reach out to his office (for appointments etc.) via phone at
(847) 618-1740.
Mark D Forrestal is licensed to practice in Illinois (license number 036-062967) 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 1578552246.
Physician's Profile
Full Name | Mark D Forrestal |
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Gender | Male |
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Speciality | Phlebology |
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Location | 1410 N Arlington Heights Rd, Arlington Heights, Illinois |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578552246
- Provider Enumeration Date: 10/17/2005
- Last Update Date: 03/03/2020
Medicare PECOS Information:
- PECOS PAC ID: 9638196926
- Enrollment ID: I20051026000538
Medical Identifiers
Medical identifiers for Mark D Forrestal such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578552246 | NPI | - | NPPES |
31601993 | Other | IL | BCBS OF ILLINOIS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 036-062967 (Illinois) | Secondary |
202K00000X | Phlebology | 036-062967 (Illinois) | 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. Mark D Forrestal 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 |
Mark D Forrestal, MD 1410 N Arlington Heights Rd, Ste 300, Arlington Heights, IL 60004-4827 Ph: (847) 618-1740 | Mark D Forrestal, MD 1410 N Arlington Heights Rd, Ste 300, Arlington Heights, IL 60004-4827 Ph: (847) 618-1740 |
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