Carolyn Jean Forman, OMD is a
Acupuncturist based in Charles Town, West Virginia. Carolyn Jean Forman is licensed to practice in West Virginia (license number 96196) and her current practice location is
64 Somerset Blvd, Charles Town, West Virginia. She can be reached at her office (for appointments etc.) via phone at
(304) 728-5066.
NPI number for Carolyn Jean Forman is 1831383728 and her current mailing address is 110 Brookland Ct Apt 12, Winchester, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1831383728.
Healthcare Provider's Profile
Full Name | Carolyn Jean Forman |
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Gender | Female |
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Speciality | Acupuncturist |
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Location | 64 Somerset Blvd, Charles Town, West Virginia |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1831383728
- Provider Enumeration Date: 09/04/2007
- Last Update Date: 09/04/2007
Medical Identifiers
Medical identifiers for Carolyn Jean Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831383728 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 96196 (West Virginia) | Primary |
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. Carolyn Jean Forman is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carolyn Jean Forman, OMD 110 Brookland Ct Apt 12, Winchester, VA 22602-6181 Ph: (540) 550-0306 | Carolyn Jean Forman, OMD 64 Somerset Blvd, Charles Town, WV 25414-4827 Ph: (304) 728-5066 |
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