Jack L Forest, DO - Medicare Surgery in Maryville, MO

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Jack L Forest, DO is a medicare enrolled "Surgery" physician in Maryville, Missouri. His current practice location is 2016 S Main St, Maryville, Missouri. You can reach out to his office (for appointments etc.) via phone at (660) 562-2600.

Jack L Forest is licensed to practice in Virginia (license number 049972) 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 1679560775.

Contact Information

Jack L Forest, DO
2016 S Main St,
Maryville, MO 64468-2655
(660) 562-2600
(660) 562-7911

Map and Direction




Physician's Profile

Full NameJack L Forest
GenderMale
SpecialitySurgery
Location2016 S Main St, Maryville, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1679560775
  • Provider Enumeration Date: 10/04/2005
  • Last Update Date: 01/06/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 0547244287
  • Enrollment ID: I20230425002668

Medical Identifiers

Medical identifiers for Jack L Forest such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679560775NPI-NPPES
C09633OtherVAGROUP PTAN
7313519MedicaidVA
C06695OtherVAGROUP PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 049972 (Virginia)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. Jack L Forest allows following entities to bill medicare on his behalf.
Entity NameFannin County Hospital Authority
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851408561
PECOS PAC ID: 6002054764
Enrollment ID: O20130923000100
Entity NameVohra Post Acute Care Physicians Of Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821424789
PECOS PAC ID: 0042447682
Enrollment ID: O20131205001723
Entity NameFannin County Hospital Authority
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1760417646
PECOS PAC ID: 6002054764
Enrollment ID: O20160920002262
Entity NameFannin County Hospital Authority
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1699705301
PECOS PAC ID: 6002054764
Enrollment ID: O20160922000885

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. Jack L Forest 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 AddressPractice Location Address
Jack L Forest, DO
114 E South Hills Dr,
Maryville, MO 64468-2659

Ph: (660) 562-2600		Jack L Forest, DO
2016 S Main St,
Maryville, MO 64468-2655

Ph: (660) 562-2600

Reviews and Comments


Surgery Doctors in Maryville, MO

Dr. James E. Bradley, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2016 S Main St, Maryville, MO 64468
Phone: 660-562-2525    Fax: 660-562-7993
Shellie Kathleen Faris, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 2016 S Main St, Maryville, MO 64468
Phone: 660-562-2525    Fax: 660-562-4303
Anthony Paul Melillo,
Surgery
Medicare: Medicare Enrolled
Practice Location: 2016 S Main St, Maryville, MO 64468
Phone: 660-562-2525    Fax: 660-562-7996
Dr. Manuel W. Runez, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 2016 S Main St, Maryville, MO 64468
Phone: 660-562-2525    Fax: 660-562-7993
Adon Harris, MD
Surgery
Medicare: Medicare Enrolled
Practice Location: 2016 S Main St, Maryville, MO 64468
Phone: 660-562-7999    Fax: 660-562-7996

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.