Dr Kevin John Formes, DO in Texarkana, TX - Medicare Internal Medicine

Dr Kevin John Formes, DO is a medicare enrolled "Internal Medicine - Interventional Cardiology" physician in Texarkana, Texas. He went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Permian Premier Health Services Inc, Permian Premier Health Services Inc and his current practice location is 1002 Texas Blvd, Suite 401, Texarkana, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 794-8820.

Dr Kevin John Formes is licensed to practice in Texas (license number M0077) 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 1497878474.

Contact Information

	Dr Kevin John Formes, DO
	1002 Texas Blvd, Suite 401, Texarkana, TX 75501-5107
	(903) 794-8820
	(903) 794-8878

Map and Direction

Physician's Profile

Full Name	Dr Kevin John Formes
Gender	Male
Speciality	Internal Medicine
Experience	21 Years
Location	1002 Texas Blvd, Texarkana, Texas
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:

Dr Kevin John Formes attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2003

NPI Data:

NPI Number: 1497878474
Provider Enumeration Date: 04/06/2007
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 7517095052
Enrollment ID: I20100504000820

Medical Identifiers

Medical identifiers for Dr Kevin John Formes such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497878474	NPI	-	NPPES
P00836010	Other	TX	RR MEDICARE
200287540A	Medicaid	OK
211561001	Medicaid	TX
182168003	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RI0011X	Internal Medicine - Interventional Cardiology	M0077 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Wadley Regional Medical Center	Texarkana, TX	Hospital
Wadley Regional Medical Center At Hope	Hope, AR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Permian Premier Health Services Inc	8426051293	118
Permian Premier Health Services Inc	8426051293	118

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 Kevin John Formes allows following entities to bill medicare on his behalf.

Entity Name	Permian Premier Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285664763 PECOS PAC ID: 8426051293 Enrollment ID: O20060816000446

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 Kevin John Formes 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 Kevin John Formes, DO 1002 Texas Blvd, Suite 401, Texarkana, TX 75501-5107 Ph: (903) 794-8820	Dr Kevin John Formes, DO 1002 Texas Blvd, Suite 401, Texarkana, TX 75501-5107 Ph: (903) 794-8820

Reviews and Comments

Internal Medicine Doctors in Texarkana, TX

Dr. Douglas Scott Black, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1002 Texas Blvd, Suite 401, Texarkana, TX 75501 Phone: 903-794-8820 Fax: 903-794-8878
Charles Chibundu Mbonu, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2604 St. Michael Drive, Suite 310, Texarkana, TX 75503 Phone: 903-614-5001 Fax: 903-614-5077
Jonathan F Thomas, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Mrs. Michelle R Dehan, RN, ACNP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1550 Moores Ln, Texarkana, TX 75503 Phone: 903-793-7378
Job Jacob, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 5002 Cowhorn Creek Rd, Texarkana, TX 75503 Phone: 903-614-3000 Fax: 903-614-3525
Jayendra D. Patel, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2600 Saint Michael Dr, Texarkana, TX 75503 Phone: 903-614-2111 Fax: 903-614-6913
Dr. Thomas Alston, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1400 College Dr, Ste 202, Texarkana, TX 75503 Phone: 903-735-5330

Dr Kevin John Formes, DO - Medicare Internal Medicine in Texarkana, TX