Thomas J Formanack, DDS - Dentist in Omaha, NE

Thomas J Formanack, DDS is a Dentist - General Practice based in Omaha, Nebraska. Thomas J Formanack is licensed to practice in Nebraska (license number 4024) and his current practice location is 17775 Mason St, Suite 1, Omaha, Nebraska. He can be reached at his office (for appointments etc.) via phone at (402) 758-9399.

NPI number for Thomas J Formanack is 1023193182 and his current mailing address is 16597 Hascall St, Omaha, Nebraska. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1023193182.

Contact Information

Thomas J Formanack, DDS
17775 Mason St, Suite 1,
Omaha, NE 68118-3559
(402) 758-9399
(402) 758-0030

Map and Direction




Healthcare Provider's Profile

Full NameThomas J Formanack
GenderMale
SpecialityDentist - General Practice
Location17775 Mason St, Omaha, Nebraska
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1023193182
  • Provider Enumeration Date: 10/26/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Thomas J Formanack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023193182NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 4024 (Nebraska)Primary

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. Thomas J Formanack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Thomas J Formanack, DDS
16597 Hascall St,
Omaha, NE 68130-2060

Ph: (402) 697-9401
Thomas J Formanack, DDS
17775 Mason St, Suite 1,
Omaha, NE 68118-3559

Ph: (402) 758-9399

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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