Monica Forbes, PA-C
Individual provider Active NPI Medical Physician Assistant · Clear Lake, IA
NPI 1770526733 · NPPES record last updated Mar 16, 2017
Key facts
- NPI
- 1770526733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- 000918 (IA)
- Practice address
- 401 S 17TH St
Clear Lake, IA 50428-2304 - Phone
- (641) 357-1800
- Fax
- (641) 357-1803
- NPI assigned
- Jun 14, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Specialty Hospital- Clarion
Practice addresses (Care Compare)
215 13TH Ave SW
Clarion Clinic
Clarion, IA 50525-2078
Phone (515) 532-2838
Hospital & facility affiliations
- Iowa Specialty Hospital - Clarion
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20111115000060 | IA | Practitioner - Physician Assistant | 4789858465 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner, Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Specialty Hospital- Clarion | Current |
Accepting new patients | |
| Iowa Specialty Hospital-Clarion | Current |
Accepting new patients | |
| Iowa Specialty Hospital- Clarion | Past | Accepting new patients | |
| Hospital Medicine Associates of Monmouth County, LLC | Past | Accepting new patients |
Locations
403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223
1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811
215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836
401 S 17th St
Clear Lake, IA 50428
Phone (515) 832-1200
Interoperability endpoints
- mforbes84214@uihcdirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000918 | IA | Yes |
Addresses
Primary practice location
401 S 17TH St
Clear Lake, IA 50428-2304
Mailing address
401 S 17TH St
Clear Lake, IA 50428-2304
Phone (641) 357-1800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0424507 | Medicaid | IA | |
| 0600460 | Medicaid | IA | |
| 0635011 | Medicaid | IA | |
| 0655001 | Medicaid | IA | |
| 29352 | Other | IA | BCBS ER |
| 0283465 | Medicaid | IA | |
| 60046 | Other | IA | BCBS REG |
| 33444 | Other | IA | FPC BCBS NRH |
| 36174 | Other | IA | BCBS DME |
| 0293522 | Medicaid | IA | |
| 66046 | Other | IA | BCBS SNF |
Other providers in Clear Lake, IA
- Briley Downing
- Dr. Karen Anderson PC
- Eastern Iowa Therapeutics PC
- Denise Engelby
- Christopher Fischer
- Alexis Friend
- Henry L Goetz Jr.
- Traci Goll
- Hailey Sue Elizabeth Grell
- Michelle Gremmer
All providers in Clear Lake, IA · Medical Physician Assistant in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2017. 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.