Micah J Forman, ARNP in Winter Park, FL - Medicare Nurse Practitioner

Micah J Forman, ARNP is a medicare enrolled "Nurse Practitioner" in Winter Park, Florida. He graduated from nursing school in 2010 and has 16 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Pensacola Hospitalist Physicians Llc and his current practice location is 4100 Metric Dr, Suite 200, Winter Park, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 681-8720.

Micah J Forman is licensed to practice in Florida (license number ARNP9169904) 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 1689972192.

Contact Information

	Micah J Forman, ARNP
	4100 Metric Dr, Suite 200, Winter Park, FL 32792-6837
	(407) 681-8720
	(407) 681-8729

Map and Direction

Provider's Profile

Full Name	Micah J Forman
Gender	Male
Speciality	Nurse Practitioner
Experience	16 Years
Location	4100 Metric Dr, Winter Park, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Micah J Forman graduated from nursing school in 2010

NPI Data:

NPI Number: 1689972192
Provider Enumeration Date: 03/08/2011
Last Update Date: 03/08/2011

Medicare PECOS Information:

PECOS PAC ID: 6103000864
Enrollment ID: I20110405000754

Medical Identifiers

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

Identifier	Type	State	Issuer
1689972192	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	ARNP9169904 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Baptist Hospital	Pensacola, FL	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pensacola Hospitalist Physicians Llc	5395159818	65

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. Micah J Forman allows following entities to bill medicare on his behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002247

Entity Name	Pensacola Hospitalist Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487254140 PECOS PAC ID: 5395159818 Enrollment ID: O20210125001604

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. Micah J 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
Micah J Forman, ARNP 807 S Orlando Ave, Suite C, Winter Park, FL 32789-4870 Ph: (407) 894-4693	Micah J Forman, ARNP 4100 Metric Dr, Suite 200, Winter Park, FL 32792-6837 Ph: (407) 681-8720

Reviews and Comments

Nurse Practitioner Nurses in Winter Park, FL

Naina Sebastian, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3695 Bear Gully Rd # 3695, Winter Park, FL 32792 Phone: 407-782-3288
Mary Catherine Lucy Hansen, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 600 N Virginia Dr, Winter Park, FL 32789 Phone: 407-599-3434 Fax: 407-599-3438
Thuy Anh Lai, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 839 N Orlando Ave, Winter Park, FL 32789 Phone: 407-647-1862
Mr. Jared Scott Levine, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2005 Mizell Ave Ste 1600a, Winter Park, FL 32792 Phone: 407-646-7380 Fax: 407-646-7381
Luciana Svilpa, MSN, APRN, WHNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1400 S Orlando Ave Ste 210, Winter Park, FL 32789 Phone: 407-863-8394
Nataliya Goldenberg, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 865 W Canton Ave, Winter Park, FL 32789 Phone: 415-994-7289
Derek Guynn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1925 Mizell Ave Ste 201, Winter Park, FL 32792 Phone: 407-646-7015 Fax: 407-646-7935

Micah J Forman, ARNP - Medicare Nurse Practitioner in Winter Park, FL