Laura Forman, in Pawtucket, RI - Medicare Emergency Medicine

Laura Forman, is a medicare enrolled "Emergency Medicine" physician in Pawtucket, Rhode Island. Her current practice location is 111 Brewster St, Pawtucket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 729-2191.

Laura Forman is licensed to practice in Rhode Island (license number MD12738) 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 1285847467.

Contact Information

	Laura Forman,
	111 Brewster St, Pawtucket, RI 02860-4474
	(401) 729-2191
	Not Available

Map and Direction

Physician's Profile

Full Name	Laura Forman
Gender	Female
Speciality	Emergency Medicine
Location	111 Brewster St, Pawtucket, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285847467
Provider Enumeration Date: 05/07/2007
Last Update Date: 08/02/2010

Medicare PECOS Information:

PECOS PAC ID: 9931263258
Enrollment ID: I20090202000421

Medical Identifiers

Medical identifiers for Laura Forman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285847467	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD12738 (Rhode Island)	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. Laura Forman allows following entities to bill medicare on her behalf.

Entity Name	Affinity Physicians Llc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184944662 PECOS PAC ID: 0244413391 Enrollment ID: O20110326000053

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. Laura 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 Address	Practice Location Address
Laura Forman, 111 Brewster St, Pawtucket, RI 02860-4474 Ph: (401) 729-2191	Laura Forman, 111 Brewster St, Pawtucket, RI 02860-4474 Ph: (401) 729-2191

Reviews and Comments

Emergency Medicine Doctors in Pawtucket, RI

John Riedel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860 Phone: 401-729-2191 Fax: 401-729-2517
Michael S Siclari, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster Street, Pawtucket, RI 02860 Phone: 401-729-2419 Fax: 401-729-2517
James P O'hair, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 100 Smithfield Ave, Pawtucket, RI 02860 Phone: 401-725-8600 Fax: 401-725-8064
Marcia Robitaille, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860 Phone: 401-729-2191 Fax: 401-729-2517
Dr. Kristin Lynch Gregg, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster Street, Pawtucket, RI 02860 Phone: 401-729-2419
Amir Bernaba, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 111 Brewster St, Pawtucket, RI 02860 Phone: 401-729-2419 Fax: 401-729-2517

Laura Forman, - Medicare Emergency Medicine in Pawtucket, RI