Paula Jean Formosa, MD is a
Plastic Surgery physician based in Dakota Dunes, South Dakota. Paula Jean Formosa is licensed to practice in South Dakota (license number 5141) and her current practice location is 575 N Sioux Point Rd, Dakota Dunes, South Dakota. She can be reached at her office (for appointments etc.) via phone at
(605) 217-2667.
NPI number for Paula Jean Formosa is 1073516308 and her current mailing address is 575 N Sioux Point Rd, Dakota Dunes, South Dakota. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1073516308.
Physician's Profile
| Full Name | Paula Jean Formosa |
|---|
| Gender | Female |
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| Speciality | Plastic Surgery |
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| Location | 575 N Sioux Point Rd, Dakota Dunes, South Dakota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1073516308
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 08/05/2010
Medical Identifiers
Medical identifiers for Paula Jean Formosa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1073516308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 5141 (South Dakota) | 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. Paula Jean Formosa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Paula Jean Formosa, MD
575 N Sioux Point Rd,
Dakota Dunes, SD 57049-5312
Ph: (605) 217-2667 | Paula Jean Formosa, MD
575 N Sioux Point Rd,
Dakota Dunes, SD 57049-5312
Ph: (605) 217-2667 |
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