| Dominic A Formaro Jr, DO | |
|
300 N 4th Ave E, Ste D, Newton, IA 50208-3155 | |
| (641) 787-3161 | |
| (641) 787-3165 |
| Full Name | Dominic A Formaro Jr |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 20 Years |
| Location | 300 N 4th Ave E, Newton, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740444058 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 3843 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Ottumwa Regional Health Center | Ottumwa, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ottumwa Health Group Llc | 3971629924 | 23 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Grinnell Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437663242 PECOS PAC ID: 0446153662 Enrollment ID: O20040127001219 |
| Entity Name | Ottumwa Health Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386956290 PECOS PAC ID: 3971629924 Enrollment ID: O20100927001257 |
| Mailing Address | Practice Location Address |
|---|---|
| Dominic A Formaro Jr, DO Po Box 1475, Des Moines, IA 50305-1475 Ph: (641) 787-3161 | Dominic A Formaro Jr, DO 300 N 4th Ave E, Ste D, Newton, IA 50208-3155 Ph: (641) 787-3161 |
Dr. Jamie Patel, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 300 N 4th Ave E Ste D, Newton, IA 50208 Phone: 641-787-3161 Fax: 641-787-3165 | |
Mr. Angel S Martin, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 321 E 3rd St N, Newton, IA 50208 Phone: 641-792-7640 Fax: 641-792-4029 |