Dr Irwin H Forman, is a
Psychiatry & Neurology - Psychiatry physician based in Elizabethtown, Pennsylvania. Dr Irwin H Forman is licensed to practice in Pennsylvania (license number MD031868L) and his current practice location is 80 Sycamore Dr, Apt, 202, Elizabethtown, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at
(717) 569-1545.
NPI number for Dr Irwin H Forman is 1922256619 and his current mailing address is 80 Sycamore Dr, Apt, 202, Elizabethtown, Pennsylvania. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1922256619.
Physician's Profile
| Full Name | Dr Irwin H Forman |
|---|
| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 80 Sycamore Dr, Elizabethtown, Pennsylvania |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1922256619
- Provider Enumeration Date: 09/05/2008
- Last Update Date: 09/05/2008
Medical Identifiers
Medical identifiers for Dr Irwin H Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1922256619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD031868L (Pennsylvania) | 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. Dr Irwin H 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 |
|---|
Dr Irwin H Forman,
80 Sycamore Dr, Apt, 202,
Elizabethtown, PA 17022-3008
Ph: (717) 569-1545 | Dr Irwin H Forman,
80 Sycamore Dr, Apt, 202,
Elizabethtown, PA 17022-3008
Ph: (717) 569-1545 |
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