Dominic A Formaro Jr, DO is a medicare enrolled "Surgery" physician in Newton, Iowa. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Iowa Physicians Clinic Medical Foundation and his current practice location is
300 N 4th Ave E, Ste D, Newton, Iowa. You can reach out to his office (for appointments etc.) via phone at
(641) 787-3161.
Dominic A Formaro Jr is licensed to practice in Iowa (license number 3843) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1740444058.
Physician's Profile
Full Name | Dominic A Formaro Jr |
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Gender | Male |
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Speciality | General Surgery |
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Experience | 19 Years |
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Location | 300 N 4th Ave E, Newton, Iowa |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Dominic A Formaro Jr graduated from medical school in 2005
NPI Data:
- NPI Number: 1740444058
- Provider Enumeration Date: 07/16/2008
- Last Update Date: 03/29/2017
Medicare PECOS Information:
- PECOS PAC ID: 0446327621
- Enrollment ID: I20080930000668
Medical Identifiers
Medical identifiers for Dominic A Formaro Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740444058 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 3843 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Iowa Physicians Clinic Medical Foundation | 8729992318 | 971 |
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. Dominic A Formaro Jr allows following entities to bill medicare on his behalf.
Entity Name | Iowa Physicians Clinic Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
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Entity Name | Grinnell Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669420501 PECOS PAC ID: 0446153662 Enrollment ID: O20040127001219 |
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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. Dominic A Formaro Jr 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 |
Dominic A Formaro Jr, DO Po Box 1475, Des Moines, IA 50305-1475 Ph: (641) 787-3161 | Dominic A Formaro Jr, DO 300 N 4th Ave E, Ste D, Newton, IA 50208-3155 Ph: (641) 787-3161 |
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