Richard Nicholas Formica, MD - Medicare Nephrology in New Haven, CT

Richard Nicholas Formica, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in New Haven, Connecticut. He went to Boston University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Yale University and his current practice location is 800 Howard Ave, Yale Physicians Building, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 785-2140.

Richard Nicholas Formica is licensed to practice in Connecticut (license number 036848) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1730163502.

Contact Information

Richard Nicholas Formica, MD
800 Howard Ave, Yale Physicians Building,
New Haven, CT 06519
(203) 785-2140
(203) 785-6414

Map and Direction




Physician's Profile

Full NameRichard Nicholas Formica
GenderMale
SpecialityNephrology
Experience31 Years
Location800 Howard Ave, New Haven, Connecticut
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Richard Nicholas Formica attended and graduated from Boston University School Of Medicine in 1993
  NPI Data:
  • NPI Number: 1730163502
  • Provider Enumeration Date: 12/05/2005
  • Last Update Date: 03/22/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 6507870797
  • Enrollment ID: I20060126000550

Medical Identifiers

Medical identifiers for Richard Nicholas Formica such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730163502NPI-NPPES
001368481MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RN0300XInternal Medicine - Nephrology 036848 (Connecticut)Primary
208M00000XHospitalist 036848 (Connecticut)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yale-new Haven HospitalNew haven, CTHospital
Greenwich Hospital Association -Greenwich, CTHospital
Bridgeport HospitalBridgeport, CTHospital
Lawrence & Memorial HospitalNew london, CTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Yale University94360617362241

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. Richard Nicholas Formica allows following entities to bill medicare on his behalf.
Entity NameYale University
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205822236
PECOS PAC ID: 9436061736
Enrollment ID: O20031105000015

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. Richard Nicholas Formica 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
Richard Nicholas Formica, MD
Po Box 9805, 300 George St 6th Floor,
New Haven, CT 06536-0805

Ph: (203) 785-7998
Richard Nicholas Formica, MD
800 Howard Ave, Yale Physicians Building,
New Haven, CT 06519

Ph: (203) 785-2140

Reviews and Comments


Internal Medicine Doctors in New Haven, CT

Dr. Brian Christopher Cambi, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 333 Cedar St, Dcb 3, New Haven, CT 06510
Phone: 203-785-4129    Fax: 203-737-2437
Ms. Maryam Gondal, M.D.
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 330 Cedar Street, Bb 114, New Haven, CT 06510
Phone: 203-785-4184    
Matthew Joseph Mcconnell, M.D.
Nephrology
Medicare: Medicare Enrolled
Practice Location: 333 Cedar St, Ynhh Internal Medicine-gi,section Of Digestive Diseases, New Haven, CT 06510
Phone: 203-785-7012    
Marie Anjeliese Rodriguez,
Nephrology
Medicare: Medicare Enrolled
Practice Location: 20 York St, New Haven, CT 06510
Phone: 203-688-4242    
Dr. Margaret M Xu, MD
Nephrology
Medicare: Medicare Enrolled
Practice Location: 20 York St, New Haven, CT 06510
Phone: 203-688-4242    
Carola Marte, MD
Nephrology
Medicare: Not Enrolled in Medicare
Practice Location: 1450 Chapel St, Haelen Center, New Haven, CT 06511
Phone: 203-789-4135    Fax: 203-867-5241
Jeanette M Tetrault, MD
Nephrology
Medicare: Accepting Medicare Assignments
Practice Location: 1 Long Wharf Dr, New Haven, CT 06511
Phone: 203-781-4600    Fax: 203-781-4624

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.