Dr Kari Rose Formsma, MD in Grand Rapids, MI - Medicare Obstetrics & Gynecology

Dr Kari Rose Formsma, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Grand Rapids, Michigan. Her current practice location is 200 Jefferson Ave Se, 9th Floor, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 685-6501.

Dr Kari Rose Formsma is licensed to practice in Michigan (license number 4301059866) 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 1073572830.

Contact Information

	Dr Kari Rose Formsma, MD
	200 Jefferson Ave Se, 9th Floor, Grand Rapids, MI 49503-4502
	(616) 685-6501
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Kari Rose Formsma
Gender	Female
Speciality	Obstetrics & Gynecology
Location	200 Jefferson Ave Se, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073572830
Provider Enumeration Date: 03/21/2006
Last Update Date: 01/09/2015

Medicare PECOS Information:

PECOS PAC ID: 3577530328
Enrollment ID: I20040913000467

Medical Identifiers

Medical identifiers for Dr Kari Rose Formsma such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073572830	NPI	-	NPPES
4764659	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	4301059866 (Michigan)	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 Kari Rose Formsma allows following entities to bill medicare on her behalf.

Entity Name	Advantage Health/saint Mary's Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376862151 PECOS PAC ID: 4082807961 Enrollment ID: O20101023000279

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 Kari Rose Formsma 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
Dr Kari Rose Formsma, MD 1900 44th St Se, Kentwood, MI 49508-5008 Ph: () -	Dr Kari Rose Formsma, MD 200 Jefferson Ave Se, 9th Floor, Grand Rapids, MI 49503-4502 Ph: (616) 685-6501

Reviews and Comments

Obstetrics & Gynecology Doctors in Grand Rapids, MI

Dr. Marcos Itamar Cordoba Munoz, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne, Maternal Fetal Medicine Dept, Grand Rapids, MI 49503 Phone: 616-391-3681
Erin Michelle Fricke, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 25 Michigan St Ne Ste 5200, Grand Rapids, MI 49503 Phone: 616-391-3681
Geron D Turke, DO Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1787 Grand Ridge Ct Ne, Suite 201, Grand Rapids, MI 49525 Phone: 616-913-8601
Lisa Anne Andersson-zetye, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 2750 E Beltline Ave Ne Fl 1, Grand Rapids, MI 49525 Phone: 616-447-5850
Dr. Jamie Huizinga, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 304, Grand Rapids, MI 49503 Phone: 616-391-2160 Fax: 616-391-2683
Abigail Christmas, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 330 Barclay Ave Ne Ste 304, Grand Rapids, MI 49503 Phone: 616-391-2160
Dr. Andrea C Wolfe, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 329 Saddleback Dr Ne, Grand Rapids, MI 49525 Phone: 616-486-6790

Dr Kari Rose Formsma, MD - Medicare Obstetrics & Gynecology in Grand Rapids, MI