Mr Forrest K Busch Jr, DO is a medicare enrolled "Dermatology" physician in Dyersburg, Tennessee. He went to University Of Missouri, Kansas City, School Of Medicine and graduated in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. His current practice location is
1950 Cook St, Dyersburg, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 286-4300.
Mr Forrest K Busch Jr is licensed to practice in Tennessee (license number DO0000000839) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063425791.
Physician's Profile
| Full Name | Mr Forrest K Busch Jr |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 37 Years |
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| Location | 1950 Cook St, Dyersburg, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Forrest K Busch Jr attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 1987
NPI Data:
- NPI Number: 1063425791
- Provider Enumeration Date: 08/14/2006
- Last Update Date: 09/10/2015
Medicare PECOS Information:
- PECOS PAC ID: 5799773834
- Enrollment ID: I20110121000494
Medical Identifiers
Medical identifiers for Mr Forrest K Busch Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1063425791 | NPI | - | NPPES |
| 3303355 | Medicaid | TN | |
| 070009417 | Other | TN | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | DO0000000839 (Tennessee) | Secondary |
| 207K00000X | Allergy & Immunology | DO0000000839 (Tennessee) | Secondary |
| 207N00000X | Dermatology | DO0000000839 (Tennessee) | 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. Mr Forrest K Busch Jr allows following entities to bill medicare on his behalf.
| Entity Name | Forrest Kenton Busch, D.o. P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1740483692
PECOS PAC ID: 3577551605
Enrollment ID: O20040505001325 |
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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. Mr Forrest K Busch Jr 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 |
|---|
Mr Forrest K Busch Jr, DO
710 Hwy 51 Bypass, Pmb 363,
Dyersburg, TN 38024
Ph: (731) 286-4300 | Mr Forrest K Busch Jr, DO
1950 Cook St,
Dyersburg, TN 38024
Ph: (731) 286-4300 |
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