Dr Kimberly Renee Formo, DC - Medicare Chiropractor in Woodinville, WA

Dr Kimberly Renee Formo, DC is a medicare enrolled "Chiropractor" provider in Woodinville, Washington. She went to Western States College Of Chiropractic and graduated in 2007 and has 17 years of diverse experience with area of expertise as Chiropractic. Her current practice location is 17401 135th Ave Ne, Suite 4, Woodinville, Washington. You can reach out to her office (for appointments etc.) via phone at (425) 483-2320.

Dr Kimberly Renee Formo is licensed to practice in Washington (license number CH00034796) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336330877.

Contact Information

Dr Kimberly Renee Formo, DC
17401 135th Ave Ne, Suite 4,
Woodinville, WA 98072-6825
(425) 483-2320
(425) 424-3256

Map and Direction




Healthcare Provider's Profile

Full NameDr Kimberly Renee Formo
GenderFemale
SpecialityChiropractic
Experience17 Years
Location17401 135th Ave Ne, Woodinville, Washington
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kimberly Renee Formo attended and graduated from Western States College Of Chiropractic in 2007
  NPI Data:
  • NPI Number: 1336330877
  • Provider Enumeration Date: 08/08/2007
  • Last Update Date: 08/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9638265986
  • Enrollment ID: I20071017000666

Medical Identifiers

Medical identifiers for Dr Kimberly Renee Formo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336330877NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
111N00000XChiropractor CH00034796 (Washington)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. Dr Kimberly Renee Formo allows following entities to bill medicare on her behalf.
Provider NameFormo Enterprises Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1275899460
PECOS PAC ID: 5991968935
Enrollment ID: O20120531000407

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. Dr Kimberly Renee Formo 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
Dr Kimberly Renee Formo, DC
17401 135th Ave Ne, Suite 4,
Woodinville, WA 98072-6825

Ph: (425) 483-2320
Dr Kimberly Renee Formo, DC
17401 135th Ave Ne, Suite 4,
Woodinville, WA 98072-6825

Ph: (425) 483-2320

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.