Melissa Marie Forkner, MSN, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Adel, Iowa. Her current practice location is
1919 Greene St, Adel, Iowa. You can reach out to her office (for appointments etc.) via phone at
(515) 993-4511.
Melissa Marie Forkner is licensed to practice in Iowa (license number A171841) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598473621.
Provider's Profile
| Full Name | Melissa Marie Forkner |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1919 Greene St, Adel, Iowa |
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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: 1598473621
- Provider Enumeration Date: 11/08/2022
- Last Update Date: 04/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 7214300060
- Enrollment ID: I20230227001971
Medical Identifiers
Medical identifiers for Melissa Marie Forkner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598473621 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | A171841 (Iowa) | Primary |
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. Melissa Marie Forkner allows following entities to bill medicare on her behalf.
| Entity Name | Karefirst Iowa Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942676945
PECOS PAC ID: 0749590826
Enrollment ID: O20151102000496 |
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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. Melissa Marie Forkner 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 |
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Melissa Marie Forkner, MSN, APRN, FNP-BC
Po Box 735379,
Chicago, IL 60673-5379
Ph: () - | Melissa Marie Forkner, MSN, APRN, FNP-BC
1919 Greene St,
Adel, IA 50003-1636
Ph: (515) 993-4511 |
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