Peter Francis Formica, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Middle Village, New York. His current practice location is
84-46 63 Avenue, Middle Village, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 428-3112.
Peter Francis Formica is licensed to practice in New York (license number 129859) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932360583.
Physician's Profile
Full Name | Peter Francis Formica |
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Gender | Male |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 84-46 63 Avenue, Middle Village, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932360583
- Provider Enumeration Date: 06/17/2008
- Last Update Date: 06/17/2008
Medicare PECOS Information:
- PECOS PAC ID: 7911971619
- Enrollment ID: I20160509001581
Medical Identifiers
Medical identifiers for Peter Francis Formica such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932360583 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 129859 (New York) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | 129859 (New York) | 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. Peter Francis Formica 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 Address | Practice Location Address |
Peter Francis Formica, MD 84-46 63 Avenue, Middle Village, NY 11379 Ph: (718) 428-3112 | Peter Francis Formica, MD 84-46 63 Avenue, Middle Village, NY 11379 Ph: (718) 428-3112 |
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