Theodore Forrest, MD - Medicare Emergency Medicine in Louisville, KY

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Theodore Forrest, MD is a medicare enrolled "Emergency Medicine" physician in Louisville, Kentucky. His current practice location is 1 Audubon Plaza Dr, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 634-6767.

Theodore Forrest is licensed to practice in Kentucky (license number 23633) 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 1649382995.

Contact Information

Theodore Forrest, MD
1 Audubon Plaza Dr,
Louisville, KY 40217-1318
(502) 634-6767
(502) 634-6775

Map and Direction




Physician's Profile

Full NameTheodore Forrest
GenderMale
SpecialityEmergency Medicine
Location1 Audubon Plaza Dr, Louisville, Kentucky
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649382995
  • Provider Enumeration Date: 08/31/2006
  • Last Update Date: 12/20/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 1153477971
  • Enrollment ID: I20090921000411

Medical Identifiers

Medical identifiers for Theodore Forrest such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649382995NPI-NPPES
1050434OtherKYPASSPORT
200351080MedicaidIN
2432855000OtherKYPASSPORT ADVANTAGE
64236334MedicaidKY
000000048673OtherKYANTHEM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 23633 (Kentucky)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. Theodore Forrest allows following entities to bill medicare on his behalf.
Entity NameCommunity Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588614994
PECOS PAC ID: 7012811284
Enrollment ID: O20031120000656
Entity NameSouthern Emergency Medical Specialists, P.s.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194704866
PECOS PAC ID: 6608779244
Enrollment ID: O20040130000137

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. Theodore Forrest 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 AddressPractice Location Address
Theodore Forrest, MD
Po Box 36218,
Louisville, KY 40233-6218

Ph: (502) 634-6767		Theodore Forrest, MD
1 Audubon Plaza Dr,
Louisville, KY 40217-1318

Ph: (502) 634-6767

Reviews and Comments


Emergency Medicine Doctors in Louisville, KY

Corey Warf, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217
Phone: 502-636-7225    
Anne Hayes, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207
Phone: 502-893-1000    
Mrs. Melissa Sue Puffenbarger, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 231 E Chestnut St, Louisville, KY 40202
Phone: 502-629-6000    Fax: 502-852-8556
Tyler Loche, DO
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 530 S Jackson St # C1h17, Louisville, KY 40202
Phone: 502-852-1273    
Dr. Jared Stuart Bass, DO
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 4001 Dutchmans Ln, Louisville, KY 40207
Phone: 502-893-1000    
Terry G Hensley, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 7926 Preston Hwy Ste 106, Louisville, KY 40219
Phone: 502-964-4357    
Dr. Brett Allen Miller, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1 Audubon Plaza Dr, Louisville, KY 40217
Phone: 502-634-6767    Fax: 502-634-6775

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.