Dr Douglas Lee Foertsch, MD is a
Urology physician based in Jasper, Indiana. Dr Douglas Lee Foertsch is licensed to practice in Indiana (license number 01031809A) and his current practice location is 721 W 13th St, #222, Jasper, Indiana. He can be reached at his office (for appointments etc.) via phone at
(812) 634-2737.
NPI number for Dr Douglas Lee Foertsch is 1619932357 and his current mailing address is 721 W 13th St, #222, Jasper, Indiana. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1619932357.
Physician's Profile
| Full Name | Dr Douglas Lee Foertsch |
|---|
| Gender | Male |
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| Speciality | Urology |
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| Location | 721 W 13th St, Jasper, Indiana |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1619932357
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 12/03/2012
Medical Identifiers
Medical identifiers for Dr Douglas Lee Foertsch such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1619932357 | NPI | - | NPPES |
| 000000080275 | Other | IN | ANTHEM BLUE CROSS |
| 340000600 | Other | | RAILROAD MEDICARE |
| 100089380 | Medicaid | IN | |
| 000000045145 | Other | KY | BCBS KENTUCKY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208800000X | Urology | 01031809A (Indiana) | 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. Dr Douglas Lee Foertsch 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 Address | Practice Location Address |
|---|
Dr Douglas Lee Foertsch, MD
721 W 13th St, #222,
Jasper, IN 47546
Ph: (812) 634-2737 | Dr Douglas Lee Foertsch, MD
721 W 13th St, #222,
Jasper, IN 47546
Ph: (812) 634-2737 |
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