| Mark Robert Forrest, MD | |
|
575 River Gate Lane, #209, Durango, CO 81301 | |
| (970) 259-0440 | |
| (970) 259-7091 |
| Full Name | Mark Robert Forrest |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 30 Years |
| Location | 575 River Gate Lane, Durango, Colorado |
| 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 |
|---|---|---|---|
| 1265469340 | NPI | - | NPPES |
| 94430837 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | 41391 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mercy Regional Medical Center | Durango, CO | Hospital |
| Animas Surgical Hospital, Llc | Durango, CO | Hospital |
| Pagosa Springs Medical Center | Pagosa springs, CO | Hospital |
| San Juan Regional Medical Center | Farmington, NM | Hospital |
| Southwest Memorial Hospital | Cortez, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rivergate Orthopedics And Animas Urology Pc | 3971826975 | 2 |
| Entity Name | Rivergate Orthopedics And Animas Urology Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629481254 PECOS PAC ID: 3971826975 Enrollment ID: O20141224000573 |
| Mailing Address | Practice Location Address |
|---|---|
| Mark Robert Forrest, MD 575 River Gate Lane, #209, Durango, CO 81301 Ph: (970) 259-0440 | Mark Robert Forrest, MD 575 River Gate Lane, #209, Durango, CO 81301 Ph: (970) 259-0440 |
Frank Joseph Mayer, MD Urology Medicare: Not Enrolled in Medicare Practice Location: 575 River Gate Lane, #209, Durango, CO 81301 Phone: 970-259-0440 Fax: 970-259-7091 | |
Edward J Pienkos, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd Ste 270, Durango, CO 81301 Phone: 970-764-3845 Fax: 970-764-3823 | |
Dr. Harry Louden Kiracofe, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 401 E 13th St, Durango, CO 81301 Phone: 970-259-9741 | |
James Abram Mcbride, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd Ste 270, Durango, CO 81301 Phone: 970-764-3845 Fax: 970-764-3823 | |
Gregory S Taylor, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1010 Three Springs Blvd Ste 270, Durango, CO 81301 Phone: 970-764-3845 Fax: 970-764-3823 |