| Colleen Forst, PMHNP | |
|
17068 Lankford Hwy, Eastville, VA 23347 | |
| (757) 414-0400 | |
| Not Available |
| Full Name | Colleen Forst |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 12 Years |
| Location | 17068 Lankford Hwy, Eastville, Virginia |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982292116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 0001251712 (Virginia) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 0024180881 (Virginia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastern Shore Rural Health System Incorporated | 2668380106 | 36 |
| Entity Name | Eastern Shore Rural Health System Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043341613 PECOS PAC ID: 2668380106 Enrollment ID: O20040122001049 |
| Mailing Address | Practice Location Address |
|---|---|
| Colleen Forst, PMHNP 20280 Market St, Onancock, VA 23417-1331 Ph: () - | Colleen Forst, PMHNP 17068 Lankford Hwy, Eastville, VA 23347 Ph: (757) 414-0400 |
Suzanne E Omrod, MSN, RN, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17068 Lankford Highway, Eastville, VA 23347 Phone: 757-331-1086 | |
Grace St. Pierre, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17068 Lankford Highway, Eastville, VA 23347 Phone: 757-331-1086 | |
Mary Kathryn Michaelis, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17068 Lankford Highway, Eastville, VA 23347 Phone: 757-414-0400 Fax: 757-414-0569 |