Lily E Formby, RD in Little Rock, AR - Medicare Dietitian, Registered Provider

Lily E Formby, RD is a medicare enrolled "Dietitian, Registered" provider in Little Rock, Arkansas. Her current practice location is 8924 Kanis Rd, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 455-2712.

Lily E Formby is licensed to practice in Arkansas (license number 2092) 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 1508439480.

Contact Information

	Lily E Formby, RD
	8924 Kanis Rd, Little Rock, AR 72205-6414
	(501) 455-2712
	(501) 455-2781

Map and Direction

Healthcare Provider's Profile

Full Name	Lily E Formby
Gender	Female
Speciality	Dietitian, Registered
Location	8924 Kanis Rd, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508439480
Provider Enumeration Date: 07/20/2021
Last Update Date: 07/26/2021

Medicare PECOS Information:

PECOS PAC ID: 0042614166
Enrollment ID: I20210811000580

Medical Identifiers

Medical identifiers for Lily E Formby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508439480	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	2092 (Arkansas)	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. Lily E Formby allows following entities to bill medicare on her behalf.

Provider Name	Arcare
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1275635542 PECOS PAC ID: 2567370620 Enrollment ID: O20031206000059

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. Lily E Formby 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
Lily E Formby, RD Po Box 497, Augusta, AR 72006-0497 Ph: (870) 347-2534	Lily E Formby, RD 8924 Kanis Rd, Little Rock, AR 72205-6414 Ph: (501) 455-2712

Reviews and Comments

Dietitian, Registered in Little Rock, AR

Central Arkansas Radiation Therapy Institute Inc Dietitian Medicare: Not Enrolled in Medicare Practice Location: 8901 Carti Way, Little Rock, AR 72205 Phone: 501-906-3000
April M Hobbs, MS, RD, CSP, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4301 W Markham St, Slot 574-01, Little Rock, AR 72205 Phone: 501-686-5788
Ms. Alexandria Bridges, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, Little Rock, AR 72205 Phone: 501-257-1000
Ms. Ambrazia Sublett, RDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4710 Sam Peck Rd # 1-2004, Little Rock, AR 72223 Phone: 615-674-0336
Cathryn Rene Woods, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4300 W 7th St, 120/lr, Little Rock, AR 72205 Phone: 502-257-6760
Mrs. Courtney Byrum, MS, RD, LD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 4 Shackleford Plz Ste 209, Little Rock, AR 72211 Phone: 501-779-8327 Fax: 501-500-5750
Eric James Siebenmorgen, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 1701 S Shackleford Rd, Little Rock, AR 72211 Phone: 501-219-7000

Lily E Formby, RD - Medicare Dietitian in Little Rock, AR