Mr Elliot S Formal, PA-C - Medicare Physician Assistant in Astoria, NY

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Mr Elliot S Formal, PA-C is a medicare enrolled "Physician Assistant - Medical" in Astoria, New York. His current practice location is 2510 30th Ave, Astoria, New York. You can reach out to his office (for appointments etc.) via phone at (718) 932-1000.

Mr Elliot S Formal is licensed to practice in New York (license number 024373) 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 1649834656.

Contact Information

Mr Elliot S Formal, PA-C
2510 30th Ave,
Astoria, NY 11102-2418
(718) 932-1000
Not Available

Map and Direction




Provider's Profile

Full NameMr Elliot S Formal
GenderMale
SpecialityPhysician Assistant - Medical
Location2510 30th Ave, Astoria, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1649834656
  • Provider Enumeration Date: 04/24/2019
  • Last Update Date: 04/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7911307681
  • Enrollment ID: I20210617000542

Medical Identifiers

Medical identifiers for Mr Elliot S Formal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649834656NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363AM0700XPhysician Assistant - Medical 024373 (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. Mr Elliot S Formal allows following entities to bill medicare on his behalf.
Entity NameMetropolitan Medical Practice Plan PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306138383
PECOS PAC ID: 8022286384
Enrollment ID: O20110713000171
Entity NameIcahn School of Medicine at Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477899078
PECOS PAC ID: 2264691070
Enrollment ID: O20130717000798
Entity NameFpa Hospital Based
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629319413
PECOS PAC ID: 4789826694
Enrollment ID: O20130806000185
Entity NameIcahn School of Medicine at Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679083984
PECOS PAC ID: 6103251491
Enrollment ID: O20200114002920
Entity NamePhysician Affiliate Group of New York PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013375526
PECOS PAC ID: 4688098833
Enrollment ID: O20200721001270

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. Mr Elliot S Formal 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
Mr Elliot S Formal, PA-C
3450 28th St Apt 2h,
Astoria, NY 11106-3533

Ph: (609) 502-3182		Mr Elliot S Formal, PA-C
2510 30th Ave,
Astoria, NY 11102-2418

Ph: (718) 932-1000

Reviews and Comments


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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.