MEDICARE: DR. JANE L FORREST M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	5933	NH
2	207Y00000X	Otolaryngology Physician	5933	NH
3	207K00000X	Allergy & Immunology Physician	5933	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0108899YONY01	OTHER		ANTHEM BC/BS

General Provider Information

NPI Number	:	1730147158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANE L FORREST M.D.

Provider Business Mailing Address
First Line	:	165 CHARLES ST
Second Line	:
City	:	ROCHESTER
State	:	NH
Zip	:	03867-3465
Country	:	US
Telephone Number	:	603-332-2101
Fax Number	:	603-332-2129

Provider Business Practice Location Address
First Line	:	165 CHARLES ST
Second Line	:
City	:	ROCHESTER
State	:	NH
Zip	:	03867-3465
Country	:	US
Telephone Number	:	603-332-2101
Fax Number	:	603-332-2129

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	01/11/2026

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