Tara Marie Formisano, DO - Medicare Obstetrics & Gynecology in Beaufort, SC

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Tara Marie Formisano, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Beaufort, South Carolina. Her current practice location is 1264 Ribaut Rd, Beaufort, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 987-7400.

Tara Marie Formisano is licensed to practice in South Carolina (license number 94477) 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 1548720121.

Contact Information

Tara Marie Formisano, DO
1264 Ribaut Rd,
Beaufort, SC 29902-6123
(843) 987-7400
Not Available

Map and Direction




Physician's Profile

Full NameTara Marie Formisano
GenderFemale
SpecialityObstetrics & Gynecology
Location1264 Ribaut Rd, Beaufort, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1548720121
  • Provider Enumeration Date: 03/21/2019
  • Last Update Date: 09/04/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 3678808532
  • Enrollment ID: I20230803002860

Medical Identifiers

Medical identifiers for Tara Marie Formisano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1548720121NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology 94477 (South Carolina)Primary
207Q00000XFamily Medicine 1015917 (Massachusetts)Secondary

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. Tara Marie Formisano allows following entities to bill medicare on her behalf.
Entity NameCaring Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659476356
PECOS PAC ID: 7315840386
Enrollment ID: O20040128000503
Entity NameBaystate Medical Practices Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548205909
PECOS PAC ID: 5991602971
Enrollment ID: O20040225000080
Entity NameMercy Inpatient Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407845282
PECOS PAC ID: 7416846977
Enrollment ID: O20040312000517

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. Tara Marie Formisano 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
Tara Marie Formisano, DO
721 Okatie Hwy,
Okatie, SC 29909-3963

Ph: (843) 987-7400		Tara Marie Formisano, DO
1264 Ribaut Rd,
Beaufort, SC 29902-6123

Ph: (843) 987-7400

Reviews and Comments


Obstetrics & Gynecology Doctors in Beaufort, SC

Dr. Marlena Mattingly Masavage, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Beaufort Memorial Obstetrics & Gynecology Specialists, 989 Ribaut Rd., Ste 210, Beaufort, SC 29902
Phone: 843-522-7820    Fax: 843-522-7821
Dr. John Fontana, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 989 Ribaut Rd Ste 210, Beaufort, SC 29902
Phone: 843-524-8151    Fax: 843-524-1954
Susan R Coker, PA
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 989 Ribaut Rd Ste 210, Beaufort, SC 29902
Phone: 843-524-8151    Fax: 843-524-1954
Dr. Patricia A Thompson, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 989 Ribaut Rd Ste 210, Beaufort, SC 29902
Phone: 843-524-8151    Fax: 843-524-1954
Gregory L Glover, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 1264 Ribaut Rd Ste 200, Beaufort, SC 29902
Phone: 843-524-2466    Fax: 843-379-2456
Dr. Eve Anne Ashby, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: Beaufort Memorial Lowcountry Medical Group, 300 Midtown Drive, Beaufort, SC 29906
Phone: 843-770-0404    Fax: 844-296-2309
Dr. Elijah None Washington Sr., M. D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 304 Scott St, Beaufort, SC 29902
Phone: 843-982-0705    

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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