MEDICARE: MONICA FORBES PA-C

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	363AM0700X	Medical Physician Assistant	000918	IA

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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	29352	OTHER	IA	BCBS ER
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	60046	OTHER	IA	BCBS REG
8	33444	OTHER	IA	FPC BCBS NRH
9	36174	OTHER	IA	BCBS DME
10	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
11	66046	OTHER	IA	BCBS SNF

General Provider Information

NPI Number	:	1770526733
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA FORBES PA-C

Provider Business Mailing Address
First Line	:	401 S 17TH ST
Second Line	:
City	:	CLEAR LAKE
State	:	IA
Zip	:	50428-2304
Country	:	US
Telephone Number	:	641-357-1800
Fax Number	:	641-357-1803

Provider Business Practice Location Address
First Line	:	401 S 17TH ST
Second Line	:
City	:	CLEAR LAKE
State	:	IA
Zip	:	50428-2304
Country	:	US
Telephone Number	:	641-357-1800
Fax Number	:	641-357-1803

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

Provider Enumeration Date	:	06/14/2006
Last Update Date	:	03/16/2017

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Directions to “ MONICA FORBES PA-C” Practice Location

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