Kenneth G Forsythe, OD is a
Optometrist based in Wisconsin Dells, Wisconsin. Kenneth G Forsythe is licensed to practice in Wisconsin (license number 1318-035) and his current practice location is
1302 Broadway, Wisconsin Dells, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(608) 254-8383.
NPI number for Kenneth G Forsythe is 1760434435 and his current mailing address is 1302 Broadway, Wisconsin Dells, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1760434435.
Healthcare Provider's Profile
| Full Name | Kenneth G Forsythe |
|---|
| Gender | Male |
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| Speciality | Optometrist |
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| Location | 1302 Broadway, Wisconsin Dells, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1760434435
- Provider Enumeration Date: 05/17/2006
- Last Update Date: 04/29/2014
Medical Identifiers
Medical identifiers for Kenneth G Forsythe such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760434435 | NPI | - | NPPES |
| 1006698 | Other | WI | PHYSICIANS PLUS |
| 60090 | Other | WI | DEAN HEALTH INSURANCE |
| 38573400 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | 1318-035 (Wisconsin) | Primary |
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. Kenneth G Forsythe is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kenneth G Forsythe, OD
1302 Broadway,
Wisconsin Dells, WI 53965-1358
Ph: (608) 254-8383 | Kenneth G Forsythe, OD
1302 Broadway,
Wisconsin Dells, WI 53965-1358
Ph: (608) 254-8383 |
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