Mr Scott Ian Forman, DO in Philadelphia, PA

Mr Scott Ian Forman, DO is a medicare enrolled "Hospitalist" physician in Philadelphia, Pennsylvania. His current practice location is 8200 Henry Ave, Suite G-1, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (215) 482-2336.

Mr Scott Ian Forman is licensed to practice in Pennsylvania (license number OS012386) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1366442402.

Contact Information

	Mr Scott Ian Forman, DO
	8200 Henry Ave, Suite G-1, Philadelphia, PA 19128-2984
	(215) 482-2336
	(215) 483-4389

Map and Direction

Physician's Profile

Full Name	Mr Scott Ian Forman
Gender	Male
Speciality	Hospitalist
Location	8200 Henry Ave, Philadelphia, Pennsylvania
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366442402
Provider Enumeration Date: 07/29/2005
Last Update Date: 01/30/2019

Medicare PECOS Information:

PECOS PAC ID: 3274513577
Enrollment ID: I20040726000426

Medical Identifiers

Medical identifiers for Mr Scott Ian Forman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366442402	NPI	-	NPPES
101139948000	Medicaid	PA
1623935	Other	PA	BLUE SHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	OS012386 (Pennsylvania)	Primary
207R00000X	Internal Medicine	05012386 (Pennsylvania)	Secondary

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. Mr Scott Ian Forman allows following entities to bill medicare on his behalf.

Entity Name	Mercy Management Of Southeastern Pennsylvania
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427573492 PECOS PAC ID: 1456265974 Enrollment ID: O20040309000333

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. Mr Scott Ian 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 Address	Practice Location Address
Mr Scott Ian Forman, DO 1500 Lansdowne Ave, Darby, PA 19023-1200 Ph: (215) 482-2336	Mr Scott Ian Forman, DO 8200 Henry Ave, Suite G-1, Philadelphia, PA 19128-2984 Ph: (215) 482-2336

Reviews and Comments

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Mr Scott Ian Forman, DO - Medicare Hospitalist in Philadelphia, PA