Forrest B Fernandez (NPI# 1174619969, PAC ID# 4587642103) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CRITICAL CARE (INTENSIVISTS).
| Nation Provider ID (NPI) | 1174619969 |
| PAC ID by PECOS | 4587642103 |
| Professional Enrollment ID | I20061213000158 |
| Full Name | Forrest B Fernandez |
| Organization Legal Name | POTTSTOWN CLINIC COMPANY LLC |
| Address |
1600 E High St Pottstown PA 19464-5093 |
| Phone Number | 6103277000 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MICHIGAN MEDICAL SCHOOL |
| Graduation Year | 1989 |
| Primary Specialty | CRITICAL CARE (INTENSIVISTS) |
| Secondary Specialties | GENERAL SURGERY |
| Group Practice PAC ID | 6406857184 |
| Number of Group Practice Members | 34 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390044 | READING HOSPITAL |
| 390123 | POTTSTOWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1600 E High St, Pottstown, PA 19464-5093 | 6103277000 | POTTSTOWN CLINIC COMPANY LLC |
| 301 S 7th Ave, 3120 Neonatology Outpatient Tower Health Medical Group, West Reading, PA 19611-1412 | 4846288843 | TOWER HEALTH MEDICAL GROUP |
| 420 S 5th Ave, West Reading, PA 19611-2143 | TOWER HEALTH MEDICAL GROUP | |
| 420 S 5th Ave Bldg N Group, Hematology Oncology Tower Health Medical Group, West Reading, PA 19611-2143 | 4846280900 | TOWER HEALTH MEDICAL GROUP |
| 420 S 5th Ave K Building, Addiction Medicine Tower Health Medical Group, West Reading, PA 19611-2143 | 4846285858 | TOWER HEALTH MEDICAL GROUP |
| 420 S 5th Ave N Bldg Ground Floor, Gynecologic Oncology Tower Health Medical Group, West Reading, PA 19611-2143 | 4846288905 | TOWER HEALTH MEDICAL GROUP |
| 6 Th Ave and Spruce St, West Reading, PA 19611-1412 | TOWER HEALTH MEDICAL GROUP |
| Organization Legal Name | POTTSTOWN CLINIC COMPANY LLC |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Tobin | Nurse Practitioner | Pottstown Clinic Company LLC | 730 S Hanover St, Pottstown, PA 19465-7520 |
| Edith Behr | General Surgery | Pottstown Clinic Company LLC | 13 Armand Hammer Blvd, Pottstown, PA 19464-5067 |
| Chandrakant X Shah | Internal Medicine | Pottstown Clinic Company LLC | 23 N Walnut St, Boyertown Family Care, Boyertown, PA 19512-1467 |
| Sonya M Foster Merrow | Family Medicine | Pottstown Clinic Company LLC | 193 Old Swede Rd, Douglasville, PA 19518-1522 |
| Benjamin D Overley | Podiatry | Pottstown Clinic Company LLC | 296 W Ridge Pk, Limerick, PA 19468 |
| Nicole J Heisman Rifkin | Internal Medicine | Pottstown Clinic Company LLC | 305 2nd Ave, Collegeville, PA 19426-2658 |
| Tara Ann Pascal | Physician Assistant | Pottstown Clinic Company LLC | 193 Old Swede Rd, Douglasville, PA 19518-1522 |
| Charles F Gorey | Family Medicine | Pottstown Clinic Company LLC | 1600 E High St, Suite 100, Pottstown, PA 19464-5008 |
| Ann E Defrangesco | Nurse Practitioner | Pottstown Clinic Company LLC | 305 2nd Ave, Collegeville, PA 19426-2658 |
| Robert L Zimmerman | Pathology | Pottstown Clinic Company LLC | 1600 E High St, Suite 100, Pottstown, PA 19464-5008 |
| Street Address |
1600 E HIGH ST |
| City | POTTSTOWN |
| State | PA |
| Zip | 19464-5093 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Peter E Blackstone | Internal Medicine | Tri-county Hospitalists LLC | 1600 E High St, Pottstown, PA 19464-5008 |
| Wei Song | Hematology/oncology | Pottstown Hospital LLC | 1600 E High St, Pottstown, PA 19464-5008 |
| Amber Iqbal | Hematology/oncology | Pottstown Hospital LLC | 1600 E High St, Pottstown, PA 19464-5008 |
| Liliany Garcia Quintero | Certified Registered Nurse Anesthetist (crna) | North American Partners In Anesthesia, Pennsylvania, LLC | 1600 E High St, Pottstown Memorial Medical Center, Pottstown, PA 19464-5008 |
| Nicole Kay Oesterling | Nurse Practitioner | Tri-county Hospitalists LLC | 1600 E High St, Pottstown, PA 19464-5008 |
| Charles F Gorey | Family Medicine | Pottstown Clinic Company LLC | 1600 E High St, Suite 100, Pottstown, PA 19464-5008 |
| Lori A Lorant Tobias | Emergency Medicine | Tri-county Emergency Physicians LLC | 1600 E High St, Pottstown, PA 19464-5008 |
| Lee A Coryell | Interventional Radiology | 1600 E High St, Pottstown Memorial Medical Center, Pottstown, PA 19464-5008 | |
| Robert L Zimmerman | Pathology | Pottstown Clinic Company LLC | 1600 E High St, Suite 100, Pottstown, PA 19464-5008 |
| Sana M Alvi | Hospitalist | Tri-county Hospitalists LLC | 1600 E High St, Pottstown, PA 19464-5008 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ryan Woods | Physical Therapy | Dynamic Therapy Services LLC | 1300 N Charlotte St, Suite 14a, Pottstown, PA 19464-2351 |
| Robert White | Physical Therapy | Dynamic Therapy Services LLC | 1300 N Charlotte St, Suite 14a, Pottstown, PA 19464-2351 |
| Peter O Oskanian | Urology | Centers for Advanced Urology LLC | 20 N Sunnybrook Rd, Academic Urology Pottstown, Pottstown, PA 19464-2946 |
| Robert C Capperella | Certified Registered Nurse Anesthetist (crna) | 20 N Sunnybrook Rd, Suite 2, Pottstown, PA 19464-2946 | |
| Allison Friede | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 225 Evergreen Rd, Pottstown, PA 19464-3143 |
| Sergio R Vaisman | Nephrology | Geps Physician Group of Pennsylvania PC | 227 Evergreen Rd, Sanatago Court, Pottstown, PA 19464-3143 |
| William C Dilks | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 225 Evergreen Rd, Pottstown, PA 19464-3143 |
| Ann L Kirkpatrick | Nurse Practitioner | Geps Physician Group of Pennsylvania PC | 225 Evergreen Rd, Pottstown, PA 19464-3143 |
| Jessica L Krishnakumar | Chiropractic | Tri-county Chiropractic P C. | 1954 E High St, Pottstown, PA 19464-3210 |
| Linda A Whitaker | Optometry | J. James Suydam, Od PC | 2087 E High St, Pottstown, PA 19464-3211 |
| Find all physicians in zip 19464 | |||
| City | POTTSTOWN |
| Zip Code | 19464 |
| Specialty | CRITICAL CARE (INTENSIVISTS) |
| City + Specialty | POTTSTOWN + CRITICAL CARE (INTENSIVISTS) |
Please comment or provide details below to improve the information on Forrest B Fernandez.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.