PRESTON ELLARD FORTHUN (DC ATC) – Athletic Trainer, NPI 1760413363
Excluded from federal healthcare programs (Medicare/Medicaid)
This provider is listed on the OIG List of Excluded Individuals/Entities (LEIE). Exclusion effective: 2022-05-19. Reason: Felony conviction relating to health care fraud (mandatory; min. 5 years).
Athletic Trainer
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for PRESTON ELLARD FORTHUN (DC ATC)
255, 2nd Avenue Northwest, Milaca, Mille Lacs County, Minnesota, 56353, United States
MILACA, MN 56353
Phone: (952) 270-2150
Type: Mailing
133, West Lake Street, Lyndale, Powderhorn, Minneapolis, Hennepin County, Minnesota, 55408, United States
MINNEAPOLIS, MN 55408
Phone: (612) 823-2020
Fax: (612) 823-1919
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56353)
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