Philip Formica, MD - Medicare Advanced Heart Failure And Transplant Cardiology in Burlington, MA

Philip Formica, MD is a medicare enrolled "Internal Medicine - Advanced Heart Failure And Transplant Cardiology" physician in Burlington, Massachusetts. He graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Advanced Heart Failure And Transplant Cardiology. He is a member of the group practice Lahey Clinic Inc, Beth Israel Lahey Health Primary Care, Inc and his current practice location is 41 Mall Road, Lahey Hospital And Medical Center, Burlington, Massachusetts. You can reach out to his office (for appointments etc.) via phone at (781) 744-8460.

Philip Formica is licensed to practice in Massachusetts (license number 256905) 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 1184883209.

Contact Information

Philip Formica, MD
41 Mall Road, Lahey Hospital And Medical Center,
Burlington, MA 01805-0001
(781) 744-8460
(781) 744-5261

Map and Direction




Physician's Profile

Full NamePhilip Formica
GenderMale
SpecialityAdvanced Heart Failure And Transplant Cardiology
Experience18 Years
Location41 Mall Road, Burlington, Massachusetts
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:
  • Philip Formica graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1184883209
  • Provider Enumeration Date: 06/04/2008
  • Last Update Date: 04/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2668607243
  • Enrollment ID: I20131107000707

Medical Identifiers

Medical identifiers for Philip Formica such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184883209NPI-NPPES
110097738AMedicaidMA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 256905 (Massachusetts)Secondary
207UN0901XNuclear Medicine - Nuclear Cardiology 256905 (Massachusetts)Secondary
207RA0001XInternal Medicine - Advanced Heart Failure And Transplant Cardiology 256905 (Massachusetts)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lahey Hospital & Medical Center, BurlingtonBurlington, MAHospital
Winchester HospitalWinchester, MAHospital
Northeast Hospital CorporationBeverly, MAHospital
Emerson Hospital -W concord, MAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lahey Clinic Inc22643365281211
Beth Israel Lahey Health Primary Care, Inc771929143468

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. Philip Formica allows following entities to bill medicare on his behalf.
Entity NameLahey Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538194980
PECOS PAC ID: 2264336528
Enrollment ID: O20031120000097
Entity NameLahey Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063447316
PECOS PAC ID: 2264336528
Enrollment ID: O20040629001269
Entity NameSouthcoast Physicians Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336137629
PECOS PAC ID: 0749171957
Enrollment ID: O20040920000138
Entity NameSouthcoast Hospitals Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306871223
PECOS PAC ID: 1850282310
Enrollment ID: O20041214000621
Entity NameBeth Israel Lahey Health Primary Care, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063873842
PECOS PAC ID: 7719291434
Enrollment ID: O20160517000441

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. Philip 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 AddressPractice Location Address
Philip Formica, MD
41 Mall Road, Lahey Hospital And Medical Center,
Burlington, MA 01805-0001

Ph: (781) 744-8460
Philip Formica, MD
41 Mall Road, Lahey Hospital And Medical Center,
Burlington, MA 01805-0001

Ph: (781) 744-8460

Reviews and Comments


Internal Medicine Doctors in Burlington, MA

Joseph Dubin,
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 41 Mall Rd., Lahey Clinic, Burlington, MA 01805
Phone: 781-744-7000    Fax: 781-744-5378
Gerard Daly, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 41 Mall Rd, Burlington, MA 01805
Phone: 781-744-5700    Fax: 781-744-5358
Sahoor Khan,
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 41 Mall Rd, Burlington, MA 01805
Phone: 781-744-8000    
Kristen M Robson, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805
Phone: 781-744-8699    Fax: 781-744-5276
Eric Scott Kerns, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 41 Mall Road, Lahey Hospital & Medical Center, Burlington, MA 01805
Phone: 781-744-8430    Fax: 781-744-5397
Neethi Rebekah Dasu, DO
Internal Medicine
Medicare: Medicare Enrolled
Practice Location: 41 Mall Rd, Burlington, MA 01805
Phone: 781-744-8000    
Frederick W Heiss, MD
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: Lahey Clinic, 41 Mall Road, Burlington, MA 01805
Phone: 781-744-5100    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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