Paul Forman, MD is a medicare enrolled "Family Medicine" physician in Talkeetna, Alaska. He graduated from medical school in 1993 and has 31 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Sunshine Community Health Center Inc and his current practice location is
34300 Talkeetna S Spur Rd, Talkeetna, Alaska. You can reach out to his office (for appointments etc.) via phone at
(907) 733-2273.
Paul Forman is licensed to practice in Alaska (license number 3728) 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 1871606004.
Physician's Profile
Full Name | Paul Forman |
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Gender | Male |
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Speciality | Family Practice |
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Experience | 31 Years |
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Location | 34300 Talkeetna S Spur Rd, Talkeetna, Alaska |
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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:
- Paul Forman graduated from medical school in 1993
NPI Data:
- NPI Number: 1871606004
- Provider Enumeration Date: 08/15/2006
- Last Update Date: 07/12/2021
Medicare PECOS Information:
- PECOS PAC ID: 5294729877
- Enrollment ID: I20040527000333
Medical Identifiers
Medical identifiers for Paul Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871606004 | NPI | - | NPPES |
MD44651 | Medicaid | AK | |
P00115873 | Other | AK | RAILROAD MEDICARE PIN# |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 3728 (Alaska) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Sunshine Community Health Center Inc | 3173415635 | 7 |
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. Paul Forman allows following entities to bill medicare on his behalf.
Entity Name | Mat Su Valley Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912950148 PECOS PAC ID: 5698686475 Enrollment ID: O20040123000583 |
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Entity Name | Sunshine Community Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922071117 PECOS PAC ID: 3173415635 Enrollment ID: O20040329000630 |
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Entity Name | Mat-su Valley Iii Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366752560 PECOS PAC ID: 5496941502 Enrollment ID: O20101130001385 |
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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. Paul 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 |
Paul Forman, MD 950 E Bogard Rd Ste 233, Wasilla, AK 99654-7185 Ph: (907) 376-2273 | Paul Forman, MD 34300 Talkeetna S Spur Rd, Talkeetna, AK 99676 Ph: (907) 733-2273 |
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