Everett Roy Forman, MD - Medicare in Latham, NY

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Everett Roy Forman, MD is a medicare enrolled "General Practice" physician in Latham, New York. His current practice location is 585 Troy Schenectady Rd, Latham, New York. You can reach out to his office (for appointments etc.) via phone at (518) 785-6004.

Everett Roy Forman is licensed to practice in New York (license number 103928-1) 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 1528061967.

Contact Information

Everett Roy Forman, MD
585 Troy Schenectady Rd,
Latham, NY 12110-2811
(518) 785-6004
(518) 785-1702

Map and Direction




Physician's Profile

Full NameEverett Roy Forman
GenderMale
Speciality
Experience Years
Location585 Troy Schenectady Rd, Latham, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Everett Roy Forman attended and graduated from in
  NPI Data:
  • NPI Number: 1528061967
  • Provider Enumeration Date: 05/31/2005
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID:
  • Enrollment ID:

Medical Identifiers

Medical identifiers for Everett Roy Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1528061967NPI-NPPES
10000672OtherCDPHP
01148OtherMVP
000401336001OtherBLUE SHIELD OF NENY
49E991OtherEMPIRE BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 103928-1 (New York)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. Everett Roy Forman 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
Everett Roy Forman, MD
47 Sweet Rd,
Ballston Lake, NY 12019-1805

Ph: (518) 785-6004		Everett Roy Forman, MD
585 Troy Schenectady Rd,
Latham, NY 12110-2811

Ph: (518) 785-6004

Reviews and Comments


General Practice Doctors in Latham, NY


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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.