Charlotte Forkum, - Registered Nurse in Cookeville, TN

Charlotte Forkum, is a Registered Nurse based in Cookeville, Tennessee. Charlotte Forkum is licensed to practice in Tennessee (license number 42380) and her current practice location is 200 W 10th St, Tn Dept Of Health, Cookeville, Tennessee. She can be reached at her office (for appointments etc.) via phone at (931) 528-7531.

NPI number for Charlotte Forkum is 1013045996 and her current mailing address is 5500 Whittaker Rd, Cookeville, Tennessee. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1013045996.

Contact Information

Charlotte Forkum,
200 W 10th St, Tn Dept Of Health,
Cookeville, TN 38501-6077
(931) 528-7531
(931) 520-0413

Map and Direction




Provider's Profile

Full NameCharlotte Forkum
GenderFemale
SpecialityRegistered Nurse
Location200 W 10th St, Cookeville, Tennessee
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1013045996
  • Provider Enumeration Date: 03/01/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Charlotte Forkum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013045996NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 42380 (Tennessee)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. Charlotte Forkum 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 AddressPractice Location Address
Charlotte Forkum,
5500 Whittaker Rd,
Cookeville, TN 38506-7022

Ph: () -
Charlotte Forkum,
200 W 10th St, Tn Dept Of Health,
Cookeville, TN 38501-6077

Ph: (931) 528-7531

Reviews and Comments


Registered Nurse Nurses in Cookeville, TN

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Mrs. Peggy Palk,
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Deborah Powers Hoy, RN
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Medicare: Not Enrolled in Medicare
Practice Location: 200 W 10th St, Cookeville, TN 38501
Phone: 931-646-7505    Fax: 931-520-7575

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.