Dr Douglas Lee Foertsch, MD is a medicare enrolled "Urology" physician in Jasper, Indiana. His current practice location is
721 W 13th St, #222, Jasper, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 634-2737.
Dr Douglas Lee Foertsch is licensed to practice in Indiana (license number 01031809A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1619932357.
Physician's Profile
Full Name | Dr Douglas Lee Foertsch |
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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 | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1619932357
- Provider Enumeration Date: 04/18/2006
- Last Update Date: 12/03/2012
Medicare PECOS Information:
- PECOS PAC ID: 4789578204
- Enrollment ID: I20040213000265
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 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. Dr Douglas Lee Foertsch allows following entities to bill medicare on his behalf.
Entity Name | Little Company Of Mary Hospital Of Indiana Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1114120128 PECOS PAC ID: 4587578042 Enrollment ID: O20031118000733 |
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Entity Name | Union Associated Physicians Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1891028379 PECOS PAC ID: 3375687437 Enrollment ID: O20100213000002 |
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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. Dr Douglas Lee Foertsch 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 |
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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