Richard Ray Forest, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Rochester, Indiana. He graduated from nursing school in 2001 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Great Lakes Anesthesia Pc, Ams Northern Indiana Llc and his current practice location is
1400 E 9th St, Rochester, Indiana. You can reach out to his office (for appointments etc.) via phone at
(574) 223-4131.
Richard Ray Forest is licensed to practice in Indiana (license number 28124400) 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 1598979650.
Provider's Profile
| Full Name | Richard Ray Forest |
|---|
| Gender | Male |
|---|
| Speciality | Certified Registered Nurse Anesthetist (crna) |
|---|
| Experience | 23 Years |
|---|
| Location | 1400 E 9th St, Rochester, Indiana |
|---|
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Richard Ray Forest graduated from nursing school in 2001
NPI Data:
- NPI Number: 1598979650
- Provider Enumeration Date: 05/09/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 5799856829
- Enrollment ID: I20080618000136
Medical Identifiers
Medical identifiers for Richard Ray Forest such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598979650 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28124400 (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Great Lakes Anesthesia Pc | 0648183442 | 9 |
| Ams Northern Indiana Llc | 8022444306 | 14 |
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. Richard Ray Forest allows following entities to bill medicare on his behalf.
| Entity Name | Great Lakes Anesthesia Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1720039977
PECOS PAC ID: 0648183442
Enrollment ID: O20041115001189 |
|---|
| Entity Name | Ams Northern Indiana Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1427619840
PECOS PAC ID: 8022444306
Enrollment ID: O20200205000244 |
|---|
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. Richard Ray Forest 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 |
|---|
Richard Ray Forest, CRNA
1400 E 9th St,
Rochester, IN 46975-8931
Ph: (574) 223-4131 | Richard Ray Forest, CRNA
1400 E 9th St,
Rochester, IN 46975-8931
Ph: (574) 223-4131 |
Reviews and Comments