Traci L Forman, CRNA - Medicare Nurse Anesthetist, Certified Registered in Topeka, KS

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Traci L Forman, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Topeka, Kansas. Her current practice location is 1700 Sw 7th St, Topeka, Kansas. You can reach out to her office (for appointments etc.) via phone at (858) 452-9537.

Traci L Forman is licensed to practice in Kansas (license number 557001) 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 1073816872.

Contact Information

Traci L Forman, CRNA
1700 Sw 7th St,
Topeka, KS 66606-2489
(858) 452-9537
Not Available

Map and Direction




Provider's Profile

Full NameTraci L Forman
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location1700 Sw 7th St, Topeka, Kansas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073816872
  • Provider Enumeration Date: 12/16/2010
  • Last Update Date: 10/06/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1052591963
  • Enrollment ID: I20110210000099

Medical Identifiers

Medical identifiers for Traci L Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073816872NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 97354 (Kansas)Secondary
367500000XNurse Anesthetist, Certified Registered 557001 (Kansas)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. Traci L Forman allows following entities to bill medicare on her behalf.
Entity NameKansas University Physicians Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003858333
PECOS PAC ID: 8921911587
Enrollment ID: O20040401000328

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. Traci L 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 AddressPractice Location Address
Traci L Forman, CRNA
1700 Sw 7th St,
Topeka, KS 66606-2489

Ph: (785) 295-8000		Traci L Forman, CRNA
1700 Sw 7th St,
Topeka, KS 66606-2489

Ph: (858) 452-9537

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Topeka, KS

Roger Vickery, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Sw 6th Ave, Topeka, KS 66606
Phone: 785-354-8518    Fax: 785-354-1255
Shannon Schwarz, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Sw 7th St, Topeka, KS 66606
Phone: 785-295-8111    
Michelle D Andrews, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 823 Sw Mulvane St, Suite 210, Topeka, KS 66606
Phone: 785-235-3451    Fax: 785-235-1435
Donald I Pekrul, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 823 Sw Mulvane St, Suite 210, Topeka, KS 66606
Phone: 785-235-3451    Fax: 785-235-1435
Laci Lee Hansen,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 823 Sw Mulvane St, Suite 210, Topeka, KS 66606
Phone: 785-235-3451    
David W Hart, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 823 Sw Mulvane St, Suite 210, Topeka, KS 66606
Phone: 785-235-3451    Fax: 785-235-1435
Kathleen M Griesemer, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 2200 Sw Gage Blvd, Topeka, KS 66622
Phone: 785-350-3111    Fax: 785-350-4541

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.