Dr Tait D Fors, MD - Medicare Urology in Neenah, WI

Dr Tait D Fors, MD is a medicare enrolled "Urology" physician in Neenah, Wisconsin. He went to University Of Wisconsin School Of Medicine and graduated in 2000 and has 24 years of diverse experience with area of expertise as Urology. He is a member of the group practice Ascension Medical Group-fox Valley Wisconsin Inc, Wisconsin Institute Of Urology Sc and his current practice location is 1265 W American Dr Ste 100, Neenah, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 722-7747.

Dr Tait D Fors is licensed to practice in Wisconsin (license number 49453) 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 1649293358.

Contact Information

Dr Tait D Fors, MD
1265 W American Dr Ste 100,
Neenah, WI 54956
(920) 722-7747
Not Available



Physician's Profile

Full NameDr Tait D Fors
GenderMale
SpecialityUrology
Experience24 Years
Location1265 W American Dr Ste 100, Neenah, Wisconsin
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:
  • Dr Tait D Fors attended and graduated from University Of Wisconsin School Of Medicine in 2000
  NPI Data:
  • NPI Number: 1649293358
  • Provider Enumeration Date: 07/25/2006
  • Last Update Date: 12/18/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6204830300
  • Enrollment ID: I20060901000204

Medical Identifiers

Medical identifiers for Dr Tait D Fors such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649293358NPI-NPPES
1649293358MedicaidWI
49453-20OtherWISTATE MEDICAL LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208800000XUrology 49453 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital
Thedacare Regional Med Ctr - NeenahNeenah, WIHospital
Thedacare Medical Center-waupacaWaupaca, WIHospital
Thedacare Medical Center - New LondonNew london, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ascension Medical Group-fox Valley Wisconsin Inc0244142420258
Wisconsin Institute Of Urology Sc660805807818

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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. Dr Tait D Fors allows following entities to bill medicare on his behalf.
Entity NameAscension Medical Group-fox Valley Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351

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Entity NameWisconsin Institute Of Urology Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578872628
PECOS PAC ID: 6608058078
Enrollment ID: O20110307000045

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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. Dr Tait D Fors 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
Dr Tait D Fors, MD
1265 W American Dr Ste 100,
Neenah, WI 54956-1405

Ph: (920) 722-7747
Dr Tait D Fors, MD
1265 W American Dr Ste 100,
Neenah, WI 54956

Ph: (920) 722-7747

News Archive

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The Renfrew Center joins forces with AKASA for treating women with eating disorders

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Stratasys Ltd., a leading global provider of 3D printing and additive manufacturing solutions, today announced that it has entered into definitive agreements to acquire two privately-held companies, Solid Concepts Inc. and Harvest Technologies.

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For some time, scientists have been tracking down the sequence of biochemical steps required to attract and assemble at the head end of a gene the molecular machinery needed to transcribe that gene to put to work the information it encodes.

Read more News

› Verified 3 days ago


Urology Doctors in Neenah, WI

Dr. Eric Jon Lawatsch, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1265 W American Dr Ste 100, Neenah, WI 54956
Phone: 920-722-7747    
Dr. Robert Elmer Vlach Jr., M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1265 W American Dr Ste 100, Neenah, WI 54956
Phone: 920-722-7747    
Dr. Omar Atassi, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1265 W American Dr Ste 100, Neenah, WI 54956
Phone: 920-722-7747    
Mr. Michael J Murphy, M.D.
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1265 W American Dr Ste 100, Neenah, WI 54956
Phone: 920-722-7747    
Joshua K Modder, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1265 W American Dr Ste 100, Neenah, WI 54956
Phone: 920-722-7747    
John T Campbell, MD
Urology
Medicare: Not Enrolled in Medicare
Practice Location: 411 Lincoln St, Neenah, WI 54956
Phone: 920-727-4233    
Mr. Daniel J Higgins, MD
Urology
Medicare: Accepting Medicare Assignments
Practice Location: 1265 W American Dr Ste 100, Neenah, WI 54956
Phone: 920-722-7747    

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