MEDICARE: ALICIA M FORSTER MD

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	207Q00000X	Family Medicine Physician	MD15760	ME

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MM941504	OTHER	ME	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972500239
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA M FORSTER MD

Provider Business Mailing Address
First Line	:	PO BOX 468
Second Line	:
City	:	SKOWHEGAN
State	:	ME
Zip	:	04976-0468
Country	:	US
Telephone Number	:	207-474-6201
Fax Number	:	207-474-0969

Provider Business Practice Location Address
First Line	:	46 FAIRVIEW AVE STE 334
Second Line	:
City	:	SKOWHEGAN
State	:	ME
Zip	:	04976-1481
Country	:	US
Telephone Number	:	207-474-6201
Fax Number	:	207-474-0969

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

Provider Enumeration Date	:	07/01/2005
Last Update Date	:	06/30/2023

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Directions to “ ALICIA M FORSTER MD” Practice Location

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