Forrest Rackham, PSYD - Medicare Psychologist in Rolla, MO

Forrest Rackham, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Rolla, Missouri. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Phelps County Regional Medical Center and his current practice location is 575b Blues Lake Pkwy, Rolla, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 364-2007.

Forrest Rackham is licensed to practice in Virginia (license number 0810004701) 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 1972841484.

Contact Information

Forrest Rackham, PSYD
575b Blues Lake Pkwy,
Rolla, MO 65401-8587
(573) 364-2007
(573) 202-2402



Healthcare Provider's Profile

Full NameForrest Rackham
GenderMale
SpecialityClinical Psychologist
Experience12 Years
Location575b Blues Lake Pkwy, Rolla, Missouri
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:
  • Forrest Rackham graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1972841484
  • Provider Enumeration Date: 01/18/2013
  • Last Update Date: 03/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274857198
  • Enrollment ID: I20170712003870

Medical Identifiers

Medical identifiers for Forrest Rackham such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972841484NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 0810004701 (Virginia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Phelps County Regional Medical CenterRolla, MOHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Phelps County Regional Medical Center286039115878

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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. Forrest Rackham allows following entities to bill medicare on his behalf.
Entity NamePhelps County Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891766051
PECOS PAC ID: 2860391158
Enrollment ID: O20040106000405

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Entity NameCompass Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285619494
PECOS PAC ID: 1951206754
Enrollment ID: O20040408000955

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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. Forrest Rackham 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
Forrest Rackham, PSYD
575b Blues Lake Pkwy,
Rolla, MO 65401-8587

Ph: (573) 364-2007
Forrest Rackham, PSYD
575b Blues Lake Pkwy,
Rolla, MO 65401-8587

Ph: (573) 364-2007

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Psychologist in Rolla, MO

Ms. Manuel Rim, PLP
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1450 E 10th St, Rolla, MO 65401
Phone: 844-853-8937    
Michaela Muehlbach, PSYD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1450 E 10th St, Rolla, MO 65401
Phone: 888-403-1071    
Ms. W Elaine Grover, MS
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1203 Vista Drive, Rolla, MO 65401
Phone: 573-364-6540    
Deborah R Frost, PHD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1450 E 10th St, Rolla, MO 65401
Phone: 573-364-7551    Fax: 573-364-4898
Randee Jo Feco,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 575b Blues Lake Pkwy, Rolla, MO 65401
Phone: 573-364-2007    
Sarah Elizabeth Lea, PHD
Psychologist
Medicare: Medicare Enrolled
Practice Location: 1450 E 10th St, Rolla, MO 65401
Phone: 888-403-1071    
Matthew P Novak, PH. D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 1450 E 10th St, Rolla, MO 65401
Phone: 573-364-7551    Fax: 573-364-4898

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