Richard Ray Forest, CRNA | |
1400 E 9th St, Rochester, IN 46975-8931 | |
(574) 223-4131 | |
Not Available |
Full Name | Richard Ray Forest |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 23 Years |
Location | 1400 E 9th St, Rochester, Indiana |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598979650 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 28124400 (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Woodlawn Hospital | Rochester, IN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Great Lakes Anesthesia Pc | 0648183442 | 11 |
Ams Northern Indiana Llc | 8022444306 | 12 |
Entity Name | Great Lakes Anesthesia Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720039977 PECOS PAC ID: 0648183442 Enrollment ID: O20041115001189 |
Entity Name | Ams Northern Indiana Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427619840 PECOS PAC ID: 8022444306 Enrollment ID: O20200205000244 |
Mailing Address | Practice Location Address |
---|---|
Richard Ray Forest, CRNA 1400 E 9th St, Rochester, IN 46975-8931 Ph: (574) 223-4131 | Richard Ray Forest, CRNA 1400 E 9th St, Rochester, IN 46975-8931 Ph: (574) 223-4131 |
Kyley Struck, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E 9th St, Rochester, IN 46975 Phone: 574-223-3141 | |
Sarah Wild, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1400 E 9th St, Rochester, IN 46975 Phone: 574-223-3141 |