Nathaniel Hamilton Forman, MD in Hollywood, FL

Nathaniel Hamilton Forman, MD is a medicare enrolled "Pediatrics - Pediatric Emergency Medicine" physician in Hollywood, Florida. His current practice location is 1005 Joe Dimaggio Dr, Hollywood, Florida. You can reach out to his office (for appointments etc.) via phone at (954) 265-5324.

Nathaniel Hamilton Forman is licensed to practice in Florida (license number ME160857) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1629509302.

Contact Information

	Nathaniel Hamilton Forman, MD
	1005 Joe Dimaggio Dr, Hollywood, FL 33021-5487
	(954) 265-5324
	Not Available

Map and Direction

Physician's Profile

Full Name	Nathaniel Hamilton Forman
Gender	Male
Speciality	Pediatrics - Pediatric Emergency Medicine
Location	1005 Joe Dimaggio Dr, Hollywood, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1629509302
Provider Enumeration Date: 03/23/2017
Last Update Date: 06/29/2023

Medicare PECOS Information:

PECOS PAC ID: 7315218427
Enrollment ID: I20210825003686

Medical Identifiers

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

Identifier	Type	State	Issuer
1629509302	NPI	-	NPPES
0456143	Medicaid	OH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	57.03227 (Ohio)	Secondary
208000000X	Pediatrics	35139206 (Ohio)	Secondary
208000000X	Pediatrics	ME160857 (Florida)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	35139206 (Ohio)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	ME160857 (Florida)	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. Nathaniel Hamilton Forman allows following entities to bill medicare on his behalf.

Entity Name	Pediatric Academic Association, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063419943 PECOS PAC ID: 2961306774 Enrollment ID: O20031124000198

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. Nathaniel Hamilton 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
Nathaniel Hamilton Forman, MD 2615 Ne 15th St, Fort Lauderdale, FL 33304-1509 Ph: (954) 294-2171	Nathaniel Hamilton Forman, MD 1005 Joe Dimaggio Dr, Hollywood, FL 33021-5487 Ph: (954) 265-5324

Reviews and Comments

Pediatrics Doctors in Hollywood, FL

Melanie Areopagita, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 4651 Sheridan St, Suite # 270, Hollywood, FL 33021 Phone: 954-989-6000 Fax: 954-967-8962
Prashanth Shanmugham, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1005 N 35th Ave, Hollywood, FL 33021 Phone: 542-656-3019 Fax: 954-985-1434
Ralph William Charlton, MD MAS Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1150 N 35th Ave, Suite 520, Hollywood, FL 33021 Phone: 954-265-6984 Fax: 954-981-5516
Mr. Enrique T Gonzalez, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4651 Sheridan St., Suite #270, Hollywood, FL 33021 Phone: 954-989-6000 Fax: 954-378-4775
Ms. Jacinta C Magnus, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4651 Sheridan St., Suite #270, Hollywood, FL 33021 Phone: 954-989-6000 Fax: 954-378-4775
Michael D Strong, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 4500 Sheridan St, Hollywood, FL 33021 Phone: 954-966-8000 Fax: 954-966-6614
Suzy Thompson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 3950 N 46th Ave, Hollywood, FL 33021 Phone: 954-962-9022 Fax: 954-966-3616

Nathaniel Hamilton Forman, MD - Medicare Pediatrics in Hollywood, FL