Forrest Rackham, PSYD in Rolla, MO - Medicare Clinical Psychologist Provider

Forrest Rackham, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Rolla, Missouri. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Phelps County Regional Medical Center and his current practice location is 575b Blues Lake Pkwy, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 364-2007.

Forrest Rackham is licensed to practice in Virginia (license number 0810004701) 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 1972841484.

Contact Information

	Forrest Rackham, PSYD
	575b Blues Lake Pkwy, Rolla, MO 65401-8587
	(573) 364-2007
	(573) 202-2402

Map and Direction

Healthcare Provider's Profile

Full Name	Forrest Rackham
Gender	Male
Speciality	Clinical Psychologist
Experience	12 Years
Location	575b Blues Lake Pkwy, Rolla, 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:

Forrest Rackham graduated from medical school in 2012

NPI Data:

NPI Number: 1972841484
Provider Enumeration Date: 01/18/2013
Last Update Date: 03/25/2021

Medicare PECOS Information:

PECOS PAC ID: 3274857198
Enrollment ID: I20170712003870

Medical Identifiers

Medical identifiers for Forrest Rackham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972841484	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	0810004701 (Virginia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Phelps County Regional Medical Center	Rolla, MO	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Phelps County Regional Medical Center	2860391158	78

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. Forrest Rackham allows following entities to bill medicare on his behalf.

Entity Name	Phelps County Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405

Entity Name	Compass Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285619494 PECOS PAC ID: 1951206754 Enrollment ID: O20040408000955

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. Forrest Rackham 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
Forrest Rackham, PSYD 575b Blues Lake Pkwy, Rolla, MO 65401-8587 Ph: (573) 364-2007	Forrest Rackham, PSYD 575b Blues Lake Pkwy, Rolla, MO 65401-8587 Ph: (573) 364-2007

Reviews and Comments

Psychologist in Rolla, MO

Ms. Manuel Rim, PLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1450 E 10th St, Rolla, MO 65401 Phone: 844-853-8937
Michaela Muehlbach, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 1450 E 10th St, Rolla, MO 65401 Phone: 888-403-1071
Ms. W Elaine Grover, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1203 Vista Drive, Rolla, MO 65401 Phone: 573-364-6540
Deborah R Frost, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1450 E 10th St, Rolla, MO 65401 Phone: 573-364-7551 Fax: 573-364-4898
Randee Jo Feco, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 575b Blues Lake Pkwy, Rolla, MO 65401 Phone: 573-364-2007
Sarah Elizabeth Lea, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 1450 E 10th St, Rolla, MO 65401 Phone: 888-403-1071
Matthew P Novak, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1450 E 10th St, Rolla, MO 65401 Phone: 573-364-7551 Fax: 573-364-4898

Forrest Rackham, PSYD - Medicare Psychologist in Rolla, MO