Dr Lorraine Raagas Formanes, DNP, APN, CPNP - Medicare Pediatrics in New Providence, NJ

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Dr Lorraine Raagas Formanes, DNP, APN, CPNP is a medicare enrolled "Pediatrics" physician in New Providence, New Jersey. Her current practice location is 556 Central Ave, New Providence, New Jersey. You can reach out to her office (for appointments etc.) via phone at (908) 508-0400.

Dr Lorraine Raagas Formanes is licensed to practice in New Jersey (license number 26NJ01199100) 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 1063183036.

Contact Information

Dr Lorraine Raagas Formanes, DNP, APN, CPNP
556 Central Ave,
New Providence, NJ 07974-1563
(908) 508-0400
Not Available

Map and Direction




Physician's Profile

Full NameDr Lorraine Raagas Formanes
GenderFemale
SpecialityPediatrics
Location556 Central Ave, New Providence, New Jersey
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1063183036
  • Provider Enumeration Date: 09/21/2021
  • Last Update Date: 09/21/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 6204353626
  • Enrollment ID: I20250508003596

Medical Identifiers

Medical identifiers for Dr Lorraine Raagas Formanes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063183036NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 26NJ01199100 (New Jersey)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. Dr Lorraine Raagas Formanes allows following entities to bill medicare on her behalf.
Entity NameSt Josephs Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1497791297
PECOS PAC ID: 9739171984
Enrollment ID: O20040330001612

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. Dr Lorraine Raagas Formanes 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
Dr Lorraine Raagas Formanes, DNP, APN, CPNP
556 Central Ave,
New Providence, NJ 07974-1563

Ph: (908) 508-0400		Dr Lorraine Raagas Formanes, DNP, APN, CPNP
556 Central Ave,
New Providence, NJ 07974-1563

Ph: (908) 508-0400

Reviews and Comments


Pediatrics Doctors in New Providence, NJ

Mr. Steven Moskowitz, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 556 Central Ave, New Providence, NJ 07974
Phone: 908-508-0400    Fax: 908-508-0370
Dr. Johanna R. Kaufman, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 890 Mountain Ave, New Providence, NJ 07974
Phone: 908-277-8601    Fax: 908-277-8706
Adrianna Marie Spinelli, APN
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 180 South St, New Providence, NJ 07974
Phone: 908-673-7505    Fax: 908-464-4159
Marla Guzman, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 890 Mountain Ave, New Providence, NJ 07974
Phone: 908-739-3235    
Dr. Kathleen M Cuddihy, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 180 South St, New Providence, NJ 07974
Phone: 908-771-9824    Fax: 908-771-9674
Ms. Kathleen Laura Chin, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 556 Central Ave, New Providence, NJ 07974
Phone: 908-508-0400    Fax: 908-508-0197

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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