Derrick Forchetti, MD - Medicare Pathology in South Bend, IN

Derrick Forchetti, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in South Bend, Indiana. He went to Indiana University School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Pathology. He is a member of the group practice South Bend Medical Foundation Inc, Consultants In Laboratory Medicine Of Greater Toledo, Consultants In Laboratory Medicine Of Greater Toledo, South Bend Medical Foundation Inc and his current practice location is 530 N Lafayette Blvd, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 234-4176.

Derrick Forchetti is licensed to practice in Indiana (license number 01049241) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669579058.

Contact Information

Derrick Forchetti, MD
530 N Lafayette Blvd,
South Bend, IN 46601-1004
(574) 234-4176
(574) 234-1561



Physician's Profile

Full NameDerrick Forchetti
GenderMale
SpecialityPathology
Experience27 Years
Location530 N Lafayette Blvd, South Bend, Indiana
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Derrick Forchetti attended and graduated from Indiana University School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1669579058
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 4688863277
  • Enrollment ID: I20110113000159

Medical Identifiers

Medical identifiers for Derrick Forchetti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669579058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ZP0102XPathology - Anatomic Pathology & Clinical Pathology 01049241 (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Borgess Medical CenterKalamazoo, MIHospital
Promedica Toledo HospitalToledo, OHHospital
Bronson Methodist HospitalKalamazoo, MIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
South Bend Medical Foundation Inc397141134913
Consultants In Laboratory Medicine Of Greater Toledo286047445918
Consultants In Laboratory Medicine Of Greater Toledo286047445918
South Bend Medical Foundation Inc397141134913

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Derrick Forchetti allows following entities to bill medicare on his behalf.
Entity NameSouth Bend Medical Foundation Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649241084
PECOS PAC ID: 3971411349
Enrollment ID: O20050119000195

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Derrick Forchetti is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Derrick Forchetti, MD
530 N Lafayette Blvd,
South Bend, IN 46601-1004

Ph: (574) 234-4176
Derrick Forchetti, MD
530 N Lafayette Blvd,
South Bend, IN 46601-1004

Ph: (574) 234-4176

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Pathology Doctors in South Bend, IN

Bobbie Sutton, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561
Luis Galup, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561
James Dyer, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 530 N. Lafayette Blvd., South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561
Joseph Prahlow, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561
Nicole Anest, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 530 N. Lafayette Blvd., South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561
Fred Busse, M.D.
Pathology
Medicare: Not Enrolled in Medicare
Practice Location: 530 N. Lafayette Blvd., South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561
Odeta Lapkus, M.D.
Pathology
Medicare: Accepting Medicare Assignments
Practice Location: 530 N. Lafayette Blvd, South Bend, IN 46601
Phone: 574-234-4176    Fax: 574-234-1561

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