Brandon James Formoza, PA-C - Medicare Physician Assistant in Potsdam, NY

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Brandon James Formoza, PA-C is a medicare enrolled "Physician Assistant" in Potsdam, New York. His current practice location is 50 Leroy St, Potsdam, New York. You can reach out to his office (for appointments etc.) via phone at (585) 236-0373.

Brandon James Formoza is licensed to practice in New York (license number 034031) 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 1700778446.

Contact Information

Brandon James Formoza, PA-C
50 Leroy St,
Potsdam, NY 13676-1786
(585) 236-0373
Not Available

Map and Direction




Provider's Profile

Full NameBrandon James Formoza
GenderMale
SpecialityPhysician Assistant
Location50 Leroy St, Potsdam, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700778446
  • Provider Enumeration Date: 07/17/2025
  • Last Update Date: 07/17/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8628586567
  • Enrollment ID: I20250802000073

Medical Identifiers

Medical identifiers for Brandon James Formoza such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700778446NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 034031 (New York)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. Brandon James Formoza allows following entities to bill medicare on his behalf.
Entity NameCanton-potsdam Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568548782
PECOS PAC ID: 6204827280
Enrollment ID: O20040519000761
Entity NameGouverneur Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1629409925
PECOS PAC ID: 9931336724
Enrollment ID: O20131227000636
Entity NameGouverneur Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295156412
PECOS PAC ID: 9931336724
Enrollment ID: O20140911000087
Entity NameMassena Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972604460
PECOS PAC ID: 1456781491
Enrollment ID: O20200515000493
Entity NameMassena Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1972604460
PECOS PAC ID: 1456781491
Enrollment ID: O20230124000826

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. Brandon James Formoza 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
Brandon James Formoza, PA-C
24 Sober St,
Norfolk, NY 13667-4147

Ph: (315) 663-7791		Brandon James Formoza, PA-C
50 Leroy St,
Potsdam, NY 13676-1786

Ph: (585) 236-0373

Reviews and Comments


Physician Assistant Nurses in Potsdam, NY

Heather Mackinnon,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    
Bernadette Avila,
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 49 Lawrence Ave, Potsdam, NY 13676
Phone: 315-261-5550    
An Tulloch, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 12 Elm St, Potsdam, NY 13676
Phone: 315-261-5420    
Christina Kashmer, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    
Luke Alexander Gillis, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    
Abrinel Marie Seeger, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 8 Clarkson Ave, Potsdam, NY 13669
Phone: 315-268-6400    
Matthew Cheevers, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 50 Leroy St, Potsdam, NY 13676
Phone: 315-265-3300    

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.