Phedra L Forist, LPN - Licensed Practical Nurse in Grand Rapids, MI

Phedra L Forist, LPN is a Licensed Practical Nurse based in Grand Rapids, Michigan. Phedra L Forist is licensed to practice in Michigan (license number 4703094449) and her current practice location is 3075 Orchard Vista Dr Se, Grand Rapids, Michigan. She can be reached at her office (for appointments etc.) via phone at (616) 262-2074.

NPI number for Phedra L Forist is 1871102640 and her current mailing address is 3075 Orchard Vista Dr Se, Grand Rapids, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871102640.

Contact Information

Phedra L Forist, LPN
3075 Orchard Vista Dr Se,
Grand Rapids, MI 49546-7069
(616) 262-2074
Not Available

Map and Direction




Provider's Profile

Full NamePhedra L Forist
GenderFemale
SpecialityLicensed Practical Nurse
Location3075 Orchard Vista Dr Se, Grand Rapids, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1871102640
  • Provider Enumeration Date: 07/28/2020
  • Last Update Date: 07/30/2020

Medical Identifiers

Medical identifiers for Phedra L Forist such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871102640NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 4703094449 (Michigan)Primary
164X00000XLicensed Vocational Nurse 4703094449 (Michigan)Secondary

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. Phedra L Forist is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Phedra L Forist, LPN
3075 Orchard Vista Dr Se,
Grand Rapids, MI 49546-7069

Ph: () -
Phedra L Forist, LPN
3075 Orchard Vista Dr Se,
Grand Rapids, MI 49546-7069

Ph: (616) 262-2074

Reviews and Comments


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Phone: 616-957-4057    Fax: 616-726-8299
Greg Allen Booth Vander Wel, LPN
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Phone: 616-726-1909    

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.