Erica Formato, - Medicare Family Practice in Harrisonburg, VA

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Erica Formato, is a medicare enrolled "Family Medicine" physician in Harrisonburg, Virginia. She went to Eastern Virginia Medical School and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Rmh Medical Group Llc, Ivyrehab Sept, Llc, Sentara Medical Group and her current practice location is 1790 E Market St Ste 64b, Harrisonburg, Virginia. You can reach out to her office (for appointments etc.) via phone at (540) 564-5666.

Erica Formato is licensed to practice in Virginia (license number 0101264179) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699161679.

Contact Information

Erica Formato,
1790 E Market St Ste 64b,
Harrisonburg, VA 22801-5197
(540) 564-5666
(844) 501-7984

Map and Direction




Physician's Profile

Full NameErica Formato
GenderFemale
SpecialityFamily Practice
Experience9 Years
Location1790 E Market St Ste 64b, Harrisonburg, Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Erica Formato attended and graduated from Eastern Virginia Medical School in 2015
  NPI Data:
  • NPI Number: 1699161679
  • Provider Enumeration Date: 04/07/2015
  • Last Update Date: 07/21/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6305146747
  • Enrollment ID: I20180725002723

Medical Identifiers

Medical identifiers for Erica Formato such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699161679NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 0101264179 (Virginia)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sentara Rmh Medical CenterHarrisonburg, VAHospital
Augusta HealthFishersville, VAHospital
Sentara Obici HospitalSuffolk, VAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Rmh Medical Group Llc7618270729206
Ivyrehab Sept, Llc79119909081173
Sentara Medical Group89219039231091

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. Erica Formato allows following entities to bill medicare on her behalf.
Entity NameSentara Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265485270
PECOS PAC ID: 8921903923
Enrollment ID: O20031203000466
Entity NameRmh Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669844908
PECOS PAC ID: 7618270729
Enrollment ID: O20160125000666

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. Erica Formato 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 AddressPractice Location Address
Erica Formato,
1790 E Market St Ste 64b,
Harrisonburg, VA 22801-5197

Ph: (540) 564-5666		Erica Formato,
1790 E Market St Ste 64b,
Harrisonburg, VA 22801-5197

Ph: (540) 564-5666

Reviews and Comments


Family Medicine Doctors in Harrisonburg, VA

Wayne F Mcnett, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1661 S Main St, Harrisonburg, VA 22801
Phone: 540-564-7300    Fax: 757-431-7100
John A Witman,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1751 Erickson Ave, Harrisonburg, VA 22801
Phone: 540-433-3344    Fax: 540-433-0031
Gilbert C Rice Iii, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1790 E Market St Ste 64b, Harrisonburg, VA 22801
Phone: 540-564-5666    Fax: 757-579-8594
Dr. James D Evans, M.D.
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 3322 Emmaus Rd, Harrisonburg, VA 22801
Phone: 540-433-2431    Fax: 540-433-9825
Rebecca Botticelli, M.D.
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1992 Medical Ave, Harrisonburg, VA 22801
Phone: 540-437-1296    Fax: 540-437-1298
Jeffrey A Ashby, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1831 Reservoir St, Harrisonburg, VA 22801
Phone: 540-433-9151    Fax: 540-433-0547
Dr. Gregory C Jesteadt Ix, M.D.
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 1831 Reservoir St, Harrisonburg, VA 22801
Phone: 540-433-9151    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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