Richard Nicholas Formica, MD in New Haven, CT

Richard Nicholas Formica, MD is a medicare enrolled "Internal Medicine - Nephrology" physician in New Haven, Connecticut. He went to Boston University School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Nephrology. He is a member of the group practice Yale University and his current practice location is 800 Howard Ave, Yale Physicians Building, New Haven, Connecticut. You can reach out to his office (for appointments etc.) via phone at (203) 785-2140.

Richard Nicholas Formica is licensed to practice in Connecticut (license number 036848) 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 1730163502.

Contact Information

	Richard Nicholas Formica, MD
	800 Howard Ave, Yale Physicians Building, New Haven, CT 06519
	(203) 785-2140
	(203) 785-6414

Map and Direction

Physician's Profile

Full Name	Richard Nicholas Formica
Gender	Male
Speciality	Nephrology
Experience	31 Years
Location	800 Howard Ave, New Haven, Connecticut
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:

Richard Nicholas Formica attended and graduated from Boston University School Of Medicine in 1993

NPI Data:

NPI Number: 1730163502
Provider Enumeration Date: 12/05/2005
Last Update Date: 03/22/2012

Medicare PECOS Information:

PECOS PAC ID: 6507870797
Enrollment ID: I20060126000550

Medical Identifiers

Medical identifiers for Richard Nicholas Formica such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730163502	NPI	-	NPPES
001368481	Medicaid	CT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RN0300X	Internal Medicine - Nephrology	036848 (Connecticut)	Primary
208M00000X	Hospitalist	036848 (Connecticut)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Yale-new Haven Hospital	New haven, CT	Hospital
Greenwich Hospital Association -	Greenwich, CT	Hospital
Bridgeport Hospital	Bridgeport, CT	Hospital
Lawrence & Memorial Hospital	New london, CT	Hospital
Westerly Hospital	Westerly, RI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Yale University	9436061736	2238

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. Richard Nicholas Formica allows following entities to bill medicare on his behalf.

Entity Name	Yale University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205822236 PECOS PAC ID: 9436061736 Enrollment ID: O20031105000015

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. Richard Nicholas Formica 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
Richard Nicholas Formica, MD Po Box 9805, 300 George St 6th Floor, New Haven, CT 06536-0805 Ph: (203) 785-7998	Richard Nicholas Formica, MD 800 Howard Ave, Yale Physicians Building, New Haven, CT 06519 Ph: (203) 785-2140

Reviews and Comments

Internal Medicine Doctors in New Haven, CT

Dr. Brian Christopher Cambi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 333 Cedar St, Dcb 3, New Haven, CT 06510 Phone: 203-785-4129 Fax: 203-737-2437
Ms. Maryam Gondal, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 330 Cedar Street, Bb 114, New Haven, CT 06510 Phone: 203-785-4184
Matthew Joseph Mcconnell, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 333 Cedar St, Ynhh Internal Medicine-gi,section Of Digestive Diseases, New Haven, CT 06510 Phone: 203-785-7012
Marie Anjeliese Rodriguez, Nephrology Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242
Dr. Margaret M Xu, MD Nephrology Medicare: Medicare Enrolled Practice Location: 20 York St, New Haven, CT 06510 Phone: 203-688-4242
Carola Marte, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 1450 Chapel St, Haelen Center, New Haven, CT 06511 Phone: 203-789-4135 Fax: 203-867-5241
Jeanette M Tetrault, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1 Long Wharf Dr, New Haven, CT 06511 Phone: 203-781-4600 Fax: 203-781-4624

Richard Nicholas Formica, MD - Medicare Nephrology in New Haven, CT