Benjamin Timothy Forrester, DO
Individual provider Active NPI Psychiatry Physician · Wauseon, OH
NPI 1386764702 · NPPES record last updated Jun 15, 2022
Key facts
- NPI
- 1386764702
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 34.008787 (OH)
- Practice address
- 725 S Shoop Ave
Wauseon, OH 43567-1702 - Phone
- (419) 335-2015
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Ohio University, College of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wood Health Company LLC
Practice addresses (Care Compare)
838 E Wooster St
Bowling Green, OH 43402-2601
Phone (419) 372-2271
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070727000190 | OH | Practitioner - Psychiatry |
6800997354 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34.008787 | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of Ohio Office of Budget and Management State Accounting | Current |
Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current | Accepting new patients | |
| State of Ohio Office of Budget and Management State Accounting | Current |
Accepting new patients |
Locations
30 E Broad St
Fl 11
Columbus, OH 43215
Phone (614) 466-9930
930 S Detroit Ave
Toledo, OH 43614
Phone (419) 381-1881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 34.008787 | OH | Yes |
Addresses
Primary practice location
725 S Shoop Ave
Wauseon, OH 43567-1702
Mailing address
725 S Shoop Ave
Wauseon, OH 43567-1702
Phone (419) 335-2015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2966625 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | benjamin.forrester.p1@direct.whc.nextgenshare.com |
Other providers in Wauseon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.