Randall Benjamin Forehand, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Rochelle, Georgia. His current practice location is
205 Morning Glory Rd, Rochelle, Georgia. You can reach out to his office (for appointments etc.) via phone at
(229) 313-9153.
Randall Benjamin Forehand is licensed to practice in Georgia (license number RN222390) 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 1407385032.
Provider's Profile
| Full Name | Randall Benjamin Forehand |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Family |
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| Location | 205 Morning Glory Rd, Rochelle, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1407385032
- Provider Enumeration Date: 06/07/2017
- Last Update Date: 10/19/2022
Medicare PECOS Information:
- PECOS PAC ID: 0941573679
- Enrollment ID: I20170831001814
Medical Identifiers
Medical identifiers for Randall Benjamin Forehand such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1407385032 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | RN222390 (Georgia) | 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. Randall Benjamin Forehand allows following entities to bill medicare on his behalf.
| Entity Name | Christopher Dennis Md Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588090229
PECOS PAC ID: 7416254990
Enrollment ID: O20190327002643 |
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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. Randall Benjamin Forehand 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 Address | Practice Location Address |
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Randall Benjamin Forehand, NP-C
205 Morning Glory Rd,
Rochelle, GA 31079-8646
Ph: (229) 313-9153 | Randall Benjamin Forehand, NP-C
205 Morning Glory Rd,
Rochelle, GA 31079-8646
Ph: (229) 313-9153 |
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