Eddie Franklin Forehand, FNP in Mesa, AZ - Medicare Nurse Practitioner

Eddie Franklin Forehand, FNP is a medicare enrolled "Nurse Practitioner - Family" in Mesa, Arizona. His current practice location is 2733 N Power Rd Ste 101a, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 677-8282.

Eddie Franklin Forehand is licensed to practice in Arizona (license number 261323) 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 1275203325.

Contact Information

	Eddie Franklin Forehand, FNP
	2733 N Power Rd Ste 101a, Mesa, AZ 85215-1683
	(480) 677-8282
	(844) 470-2777

Map and Direction

Provider's Profile

Full Name	Eddie Franklin Forehand
Gender	Male
Speciality	Nurse Practitioner - Family
Location	2733 N Power Rd Ste 101a, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275203325
Provider Enumeration Date: 09/20/2021
Last Update Date: 11/08/2024

Medicare PECOS Information:

PECOS PAC ID: 5890149074
Enrollment ID: I20230921001058

Medical Identifiers

Medical identifiers for Eddie Franklin Forehand such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1275203325	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	261323 (Arizona)	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. Eddie Franklin Forehand allows following entities to bill medicare on his behalf.

Entity Name	Athena Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164918124 PECOS PAC ID: 8921358706 Enrollment ID: O20180829003049

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. Eddie Franklin Forehand 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
Eddie Franklin Forehand, FNP 261 N Roosevelt Ave, Chandler, AZ 85226-2617 Ph: (480) 677-8282	Eddie Franklin Forehand, FNP 2733 N Power Rd Ste 101a, Mesa, AZ 85215-1683 Ph: (480) 677-8282

Reviews and Comments

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Eddie Franklin Forehand, FNP - Medicare Nurse Practitioner in Mesa, AZ