| Gary Forrister M.d. P.c. | |
|
923 Route 6a Ste W Yarmouth Port MA 02675-2159 | |
| (774) 994-8376 | |
| (774) 994-8642 |
| Full Name | Gary Forrister M.d. P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 923 Route 6a Ste W, Yarmouth Port, Massachusetts |
| Authorized Official Name and Position | Gary Francis Forrister (PRESIDENT) |
| Authorized Official Contact | 5082407964 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gary Forrister M.d. P.c. 923 Route 6a Ste W Yarmouth Port MA 02675-2159 Ph: (774) 994-8376 | Gary Forrister M.d. P.c. 923 Route 6a Ste W Yarmouth Port MA 02675-2159 Ph: (774) 994-8376 |
| NPI Number | 1013322064 |
|---|---|
| Provider Enumeration Date | 06/29/2014 |
| Last Update Date | 03/03/2022 |
| Certification Date | 03/03/2022 |
| Medicare PECOS PAC ID | 3779703699 |
|---|---|
| Medicare Enrollment ID | O20140927000277 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013322064 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 78006 (Massachusetts) | Primary |
| Provider Name | Gary F Forrister |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467402685 PECOS PAC ID: 8921037599 Enrollment ID: I20050804000767 |
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