Theresa Victoria Forty, DO - Medicare Emergency Medicine in Salem, VA

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Theresa Victoria Forty, DO is a medicare enrolled "Emergency Medicine" physician in Salem, Virginia. She went to West Virginia School Of Osteopathic Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Lake Spring Emergency Group Llc and her current practice location is 1900 Electric Rd, Salem, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 776-4000.

Theresa Victoria Forty is licensed to practice in Virginia (license number 0102205314) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982022976.

Contact Information

Theresa Victoria Forty, DO
1900 Electric Rd,
Salem, VA 24153
(540) 776-4000
Not Available

Map and Direction




Physician's Profile

Full NameTheresa Victoria Forty
GenderFemale
SpecialityEmergency Medicine
Experience10 Years
Location1900 Electric Rd, Salem, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Theresa Victoria Forty attended and graduated from West Virginia School Of Osteopathic Medicine in 2014
  NPI Data:
  • NPI Number: 1982022976
  • Provider Enumeration Date: 04/07/2014
  • Last Update Date: 06/19/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2163729658
  • Enrollment ID: I20180814000887

Medical Identifiers

Medical identifiers for Theresa Victoria Forty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982022976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 5101020889 (Michigan)Secondary
207P00000XEmergency Medicine 0102205314 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lewisgale Medical CenterSalem, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lake Spring Emergency Group Llc640610349840

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. Theresa Victoria Forty allows following entities to bill medicare on her behalf.
Entity NameIngleside Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144712662
PECOS PAC ID: 1355698317
Enrollment ID: O20180720002968
Entity NameLake Spring Emergency Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215429600
PECOS PAC ID: 6406103498
Enrollment ID: O20180723001173
Entity NameWildwood Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013409721
PECOS PAC ID: 4789932385
Enrollment ID: O20180730001151
Entity NameKingsford Emergency Group, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336631480
PECOS PAC ID: 3870841117
Enrollment ID: O20180802003435

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. Theresa Victoria Forty 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
Theresa Victoria Forty, DO
11885 E 12 Mile Rd Ste 300a,
Warren, MI 48093-3467

Ph: (586) 582-6630		Theresa Victoria Forty, DO
1900 Electric Rd,
Salem, VA 24153

Ph: (540) 776-4000

Reviews and Comments


Emergency Medicine Doctors in Salem, VA

Mark E Todd, M.D.
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Practice Location: 1970 Roanoke Blvd, Salem, VA 24153
Phone: 540-982-2463    
Shane P Bossard, M.D.
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Phone: 540-982-2463    Fax: 540-983-1093
Pratibha Joshi, M.D.
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Dr. Lourdes Maria Page, MD
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Robert E Dowling, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1900 Electric Rd, Er Dept, Salem, VA 24153
Phone: 540-776-4970    
Dr. Adam Wali Hamidi, D.O.
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Practice Location: 1900 Electric Rd, Salem, VA 24153
Phone: 301-661-1145    
Mr. Garth Allen Mills Jr., PA-C
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Medicare: Medicare Enrolled
Practice Location: 1802 Braeburn Dr, Salem, VA 24153
Phone: 540-772-3490    Fax: 540-772-3822

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).

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