Sharon Forsmo, PA is a medicare enrolled "Internal Medicine - Cardiovascular Disease" in Upton, Massachusetts. Her current practice location is
236 Milford St, Upton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 473-1015.
Sharon Forsmo is licensed to practice in Massachusetts (license number PA4241) 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 1841258092.
Provider's Profile
| Full Name | Sharon Forsmo |
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| Gender | Female |
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| Speciality | Internal Medicine - Cardiovascular Disease |
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| Location | 236 Milford St, Upton, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1841258092
- Provider Enumeration Date: 05/03/2006
- Last Update Date: 07/24/2019
Medicare PECOS Information:
- PECOS PAC ID: 3779652078
- Enrollment ID: I20111213000013
Medical Identifiers
Medical identifiers for Sharon Forsmo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841258092 | NPI | - | NPPES |
| 308313 | Other | RI | BCBS |
| 408244 | Other | RI | BLUE CHIP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363AM0700X | Physician Assistant - Medical | PA00149 (Rhode Island) | Secondary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | PA4241 (Massachusetts) | 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. Sharon Forsmo allows following entities to bill medicare on her behalf.
| Entity Name | Umass Memorial Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760445373
PECOS PAC ID: 4284539891
Enrollment ID: O20040113000267 |
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| Entity Name | Brigham & Womens Physicians Organization Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033535497
PECOS PAC ID: 3870405988
Enrollment ID: O20150107001260 |
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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. Sharon Forsmo 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 |
|---|
Sharon Forsmo, PA
298 Armistice Blvd,
Pawtucket, RI 02861-2331
Ph: (508) 473-1015 | Sharon Forsmo, PA
236 Milford St,
Upton, MA 01568
Ph: (508) 473-1015 |
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