| Forrest Brown, | |
|
1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 | |
| (704) 355-0720 | |
| Not Available |
| Full Name | Forrest Brown |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 40 Years |
| Location | 1000 Blythe Blvd, Charlotte, North Carolina |
| 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 |
|---|---|---|---|
| 1821094350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 9800199 (North Carolina) | Primary |
| 208M00000X | Hospitalist | MC-2074 (Idaho) | Secondary |
| 208M00000X | Hospitalist | 64097 (Arizona) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wyoming Medical Center | Casper, WY | Hospital |
| St Joseph Regional Medical Center | Lewiston, ID | Hospital |
| Community Medical Center | Missoula, MT | Hospital |
| Memorial Hospital Of Converse County | Douglas, WY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sound Physicians Of Wyoming, Llc | 8325214828 | 33 |
| Cogent Healthcare Of Montana P C | 4486712833 | 74 |
| Sound Physicians Of Idaho | 4688705346 | 62 |
| Entity Name | West Park Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20040127000865 |
| Entity Name | West Park Hospital District |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1558351536 PECOS PAC ID: 7315855624 Enrollment ID: O20090420000561 |
| Entity Name | Sound Physicians Of Wyoming, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982982708 PECOS PAC ID: 8325214828 Enrollment ID: O20120105000078 |
| Entity Name | Hospitalist Medicine Physicians Of Wyoming - Casper, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730719550 PECOS PAC ID: 0648600239 Enrollment ID: O20200422002305 |
| Mailing Address | Practice Location Address |
|---|---|
| Forrest Brown, 1000 Blythe Blvd., Cmc Annex 1st Floor, Charlotte, NC 28203 Ph: () - | Forrest Brown, 1000 Blythe Blvd, Cmc Annex 1st Floor, Charlotte, NC 28203-5812 Ph: (704) 355-0720 |
Shakuntala Mathapati, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-0720 | |
Nicole A. Cagle Richardson, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 | |
David Jerret Pubantz, MD Hospitalist Medicare: Medicare Enrolled Practice Location: 4501 Cameron Valley Pkwy, Ste 200-b, Charlotte, NC 28211 Phone: 704-381-0500 | |
Joshua Lee Eichenberger, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-0720 | |
Stefanie Rose Reed, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 1001 Blythe Blvd, Medical Center Plaza Suite 200, Charlotte, NC 28203 Phone: 704-381-8840 | |
Jasdip G. Bajaj, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 8800 N Tryon St, Charlotte, NC 28262 Phone: 704-863-6241 | |
Thanigaiarsu Thiyagarajan, MD Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 1100 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-4475 |