Individual ProviderForrest HermanStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address11937 Us Highway 271, Tyler, TX 75708-3154(903) 877-7777PECOS EnrollmentBased on the most recent information from CMS, provider Forrest Herman is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1467199562Provider TypeIndividualFull NameHerman, ForrestCredentialMDGenderMaleSole ProprietorNoEnumeration Date5/19/2022Last Updated5/19/2022Contact InformationPractice LocationPractice Address11937 Us Highway 271, Tyler, TX 75708-3154Phone(903) 877-7777FaxUnlisted FaxMailing LocationMailing Address11937 Us Highway 271, Tyler, TX 75708-3154Phone(903) 877-7777FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10080621Texas