Bonnie Jo Forman, MD - Medicare Family Medicine in Kingwood, WV

Bonnie Jo Forman, MD is a medicare enrolled "Family Medicine" physician in Kingwood, West Virginia. Her current practice location is 150 Memorial Dr, Kingwood, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 329-1400.

Bonnie Jo Forman is licensed to practice in West Virginia (license number 19299) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1881640282.

Contact Information

Bonnie Jo Forman, MD
150 Memorial Dr,
Kingwood, WV 26537-1141
(304) 329-1400
(304) 329-6961

Map and Direction




Physician's Profile

Full NameBonnie Jo Forman
GenderFemale
SpecialityFamily Medicine
Location150 Memorial Dr, Kingwood, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1881640282
  • Provider Enumeration Date: 05/26/2006
  • Last Update Date: 04/29/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4183686165
  • Enrollment ID: I20041102000236

Medical Identifiers

Medical identifiers for Bonnie Jo Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1881640282NPI-NPPES
0048169000MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 19299 (West Virginia)Primary

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. Bonnie Jo Forman allows following entities to bill medicare on her behalf.
Entity NamePreston Memorial Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841230661
PECOS PAC ID: 5294645107
Enrollment ID: O20040609000164

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. Bonnie Jo Forman 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
Bonnie Jo Forman, MD
2287 S Mountaineer Hwy,
Thornton, WV 26440-7171

Ph: (304) 265-6963
Bonnie Jo Forman, MD
150 Memorial Dr,
Kingwood, WV 26537-1141

Ph: (304) 329-1400

Reviews and Comments


Family Medicine Doctors in Kingwood, WV

Mr. Ram M Shetty, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 428 Morgantown Street, Kingwood, WV 26537
Phone: 304-329-0256    Fax: 304-329-0733
Dr. Marisa Lynn Downey, D.O.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 150 Memorial Dr, Kingwood, WV 26537
Phone: 304-329-1400    Fax: 304-329-1175
Dr. John Joseph Keefe, MD.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 116 Brown Ave, Kingwood, WV 26537
Phone: 304-329-3932    
Bethany Diane Mcnair, FNP-BC
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 150 Memorial Dr, Kingwood, WV 26537
Phone: 304-329-1400    Fax: 304-329-6961
Mr. Michael R Schwarzenberg, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 110 N Price St, Kingwood, WV 26537
Phone: 304-329-3500    Fax: 304-329-2088
Jason Edward Mcnair,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 150 Memorial Dr, Kingwood, WV 26537
Phone: 304-329-1400    Fax: 304-329-1175
Ms. Julia E Ramberg, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 428 Morgantown Street, Kingwood, WV 26537
Phone: 304-329-0256    Fax: 304-329-0733

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.