Dr Jerald Delbert Forsyth, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Rogersville, Missouri. He graduated from medical school in 1996 and has 29 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Sgoh Acquisition Inc and his current practice location is
101 S Main St, Rogersville, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 753-9404.
Dr Jerald Delbert Forsyth is licensed to practice in Missouri (license number 01675) 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 1558451948.
Healthcare Provider's Profile
| Full Name | Dr Jerald Delbert Forsyth |
|---|
| Gender | Male |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 29 Years |
|---|
| Location | 101 S Main St, Rogersville, Missouri |
|---|
| 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:
- Dr Jerald Delbert Forsyth graduated from medical school in 1996
NPI Data:
- NPI Number: 1558451948
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 04/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 1456662436
- Enrollment ID: I20150617000998
Medical Identifiers
Medical identifiers for Dr Jerald Delbert Forsyth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558451948 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 01675 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sgoh Acquisition Inc | 5092616276 | 72 |
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. Dr Jerald Delbert Forsyth allows following entities to bill medicare on his behalf.
| Entity Name | Sgoh Acquisition Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1114924768
PECOS PAC ID: 5092616276
Enrollment ID: O20040205000647 |
|---|
| Entity Name | Citizens Memorial Healthcare |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1568566131
PECOS PAC ID: 4183528169
Enrollment ID: O20040315001374 |
|---|
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. Dr Jerald Delbert Forsyth 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 |
|---|
Dr Jerald Delbert Forsyth, PSYD
2066 W Willow Lakes Cv,
Springfield, MO 65810-1562
Ph: (417) 844-8423 | Dr Jerald Delbert Forsyth, PSYD
101 S Main St,
Rogersville, MO 65742-9357
Ph: (417) 753-9404 |
Reviews and Comments