Jack Forck (NPI# 1679953301, PAC ID# 9335451731) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1679953301 |
| PAC ID by PECOS | 9335451731 |
| Professional Enrollment ID | I20150626000856 |
| Full Name | Jack Forck |
| Organization Legal Name | RALPH BHARATI, MD, PA |
| Address |
8911 E Orme A Wichita KS 67207-2424 |
| Phone Number | 3166867884 |
| Gender | M |
| Graduation Year | 2015 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 0042206229 |
| Number of Group Practice Members | 5 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 8911 E Orme A, Wichita, KS 67207-2424 | 3166867884 | RALPH BHARATI, MD, PA |
| Organization Legal Name | RALPH BHARATI, MD, PA |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Clifford Wayne Jones | Nurse Practitioner | Ralph Bharati, Md, Pa | 8911 E Orme A, Wichita, KS 67207-2424 |
| Street Address |
8911 E ORME A |
| City | WICHITA |
| State | KS |
| Zip | 67207-2424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ralph Bharati | Psychiatry | 8911 E Orme A, Wichita, KS 67207-2424 | |
| Clifford Wayne Jones | Nurse Practitioner | Ralph Bharati, Md, Pa | 8911 E Orme A, Wichita, KS 67207-2424 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephen L Benson | Psychologist, Clinical | 111 S Whittier St, Wichita, KS 67207-1045 | |
| Jeff L Drake | Chiropractic | 154 S Rock Rd, Wichita, KS 67207-1152 | |
| Gary R Hackney | Psychologist, Clinical | 7701 E Kellogg Dr, Suite 840, Wichita, KS 67207-1706 | |
| Hayley Williams | Optometry | 7700 E Kellogg Dr, Wichita, KS 67207-1772 | |
| Vanlang Q Huynh | Optometry | 9700 E Kellogg Dr, Wichita, KS 67207-1821 | |
| Heather Hanson Wooten | Optometry | New Vision Optometry Pa | 8113 E Kellogg Dr, Suite 500, Wichita, KS 67207-1840 |
| Jeremy L Guenthner | Optometry | New Vision Optometry Pa | 8113 E Kellogg Dr, Suite 500, Wichita, KS 67207-1840 |
| William R Storment | Optometry | 11411 E Kellogg Dr, Optometrist Office, Wichita, KS 67207-1928 | |
| Shauna M Meier | Clinical Social Worker | 8911 E Orme St D, Wichita, KS 67207-2424 | |
| Russell Scott Stegman | Psychologist, Clinical | 8911 E Orme St, Suite D, Wichita, KS 67207-2424 | |
| Find all physicians in zip 67207 | |||
| City | WICHITA |
| Zip Code | 67207 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | WICHITA + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jack Forck.
| 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.