Forrest Dean Hammeren, is a medicare enrolled "Occupational Therapist" provider in Emmett, Idaho. His current practice location is
2438 Mountain View Dr, Emmett, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 475-1984.
Forrest Dean Hammeren is licensed to practice in Idaho (license number OT-688) 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 1063756443.
Healthcare Provider's Profile
| Full Name | Forrest Dean Hammeren |
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| Gender | Male |
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| Speciality | Occupational Therapist |
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| Location | 2438 Mountain View Dr, Emmett, Idaho |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1063756443
- Provider Enumeration Date: 11/26/2012
- Last Update Date: 11/26/2012
Medicare PECOS Information:
- PECOS PAC ID: 3870999238
- Enrollment ID: I20240405000974
Medical Identifiers
Medical identifiers for Forrest Dean Hammeren such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063756443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225X00000X | Occupational Therapist | OT-688 (Idaho) | Primary |
| 225X00000X | Occupational Therapist | 1068103 (Oregon) | Secondary |
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. Forrest Dean Hammeren allows following entities to bill medicare on his behalf.
| Provider Name | Delta Physical Therapy And Sports Medicine Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1801834700
PECOS PAC ID: 0941101372
Enrollment ID: O20040117000230 |
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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. Forrest Dean Hammeren 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 |
|---|
Forrest Dean Hammeren,
2438 Mountain View Dr,
Emmett, ID 83617-9581
Ph: () - | Forrest Dean Hammeren,
2438 Mountain View Dr,
Emmett, ID 83617-9581
Ph: (208) 475-1984 |
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