Renee Kay-Dawn Forrester, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

SC006280 Issued in PA

Practice address

7703 New Second St
Elkins Park, PA 19027-3513

Phone

(215) 848-4104

Fax

(215) 782-8004

NPI assigned

Sep 23, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Renee Kay-Dawn Graham Former name

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Forrester Foot and Ankle LLC

  • Podiatric Clinic/Center
  • Philadelphia, PA
  • NPI 1376951301
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1912280181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 NEW SECOND ST",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273513",
            "telephone_number": "215-848-4104",
            "fax_number": "215-782-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7703 NEW SECOND ST",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190273513",
            "telephone_number": "215-848-4104",
            "fax_number": "215-782-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORRESTER",
        "first_name": "RENEE",
        "middle_name": "KAY-DAWN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "PA",
            "license": "SC006280",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENCE",
            "identifier": "SC006280",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RENEE",
            "last_name": "GRAHAM",
            "middle_name": "KAY-DAWN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dalaney Marcella Fitzgerald, LBS
• Eileen Fitzpatrick, PH.D
• Christa Marie Flood, PMU, SPCP
• For the Love of Kou LLC
• Forever Better Home Health Care Services
• Kelly Fosnocht, APRN
• Maria Foy, PHARMD
• Laura Beth Frank, R.D., L.D.N.
• Claude Fratamico, DMD
• J Lamar Freed, PSY.D

• Podiatrist in Elkins Park, PA
• Providers in Elkins Park, PA by specialty
• Podiatrist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.