| Vernon Forrester, MD | |
|
104 J E Briscoe Way, Madison, AL 35758-4822 | |
| (256) 705-3000 | |
| (256) 705-3105 |
| Full Name | Vernon Forrester |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 8 Years |
| Location | 104 J E Briscoe Way, Madison, Alabama |
| 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 |
|---|---|---|---|
| 1679002729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207N00000X | Dermatology | 35.142138 (Ohio) | Secondary |
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | MD.44256 (Alabama) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Skin Cancer And Dermatology | 0648427856 | 8 |
| Entity Name | Aqua Dermatology Of Alabama Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477708642 PECOS PAC ID: 9436211463 Enrollment ID: O20081229000234 |
| Entity Name | Southeastern Skin Cancer & Dermatology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538433602 PECOS PAC ID: 0648427856 Enrollment ID: O20120823000122 |
| Mailing Address | Practice Location Address |
|---|---|
| Vernon Forrester, MD 104 J E Briscoe Way, Madison, AL 35758-4822 Ph: (256) 705-3000 | Vernon Forrester, MD 104 J E Briscoe Way, Madison, AL 35758-4822 Ph: (256) 705-3000 |
Dr. Albert Earl Rivera, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 104 J E Briscoe Way, Madison, AL 35758 Phone: 256-705-3000 | |
Katelyn Zimmer, Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8331 Madison Blvd Ste 300, Madison, AL 35758 Phone: 256-705-3000 | |
Shannon Mcglathery, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 147 Castle Dr Ste D, Madison, AL 35758 Phone: 256-417-9693 | |
Dr. Joseph M. Dai Iii, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 44 Hughes Rd Ste 100, Madison, AL 35758 Phone: 877-231-3376 Fax: 850-522-8354 | |
Dr. Angelo Mancuso, DO Dermatology Medicare: Accepting Medicare Assignments Practice Location: 540 Hughes Rd, Madison, AL 35758 Phone: 256-772-9996 Fax: 256-772-0294 |