Roy Michael Forman, MD in Tallahassee, FL

Roy Michael Forman, MD is a medicare enrolled "Family Medicine" physician in Tallahassee, Florida. His current practice location is 2140 Centerville Pl, Tallahassee, Florida. You can reach out to his office (for appointments etc.) via phone at (850) 383-3300.

Roy Michael Forman is licensed to practice in Florida (license number ME 42427) 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 1346207065.

Contact Information

	Roy Michael Forman, MD
	2140 Centerville Pl, Tallahassee, FL 32308-4342
	(850) 383-3300
	Not Available

Map and Direction

Physician's Profile

Full Name	Roy Michael Forman
Gender	Male
Speciality	Family Medicine
Location	2140 Centerville Pl, Tallahassee, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346207065
Provider Enumeration Date: 04/27/2006
Last Update Date: 03/11/2021

Medicare PECOS Information:

PECOS PAC ID: 8123152634
Enrollment ID: I20100819000805

Medical Identifiers

Medical identifiers for Roy Michael Forman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346207065	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	ME 42427 (Florida)	Primary

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. Roy Michael Forman allows following entities to bill medicare on his behalf.

Entity Name	Capital Health Plan, Inc,
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770688566 PECOS PAC ID: 6406744077 Enrollment ID: O20040305000605

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. Roy Michael 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
Roy Michael Forman, MD Po Box 15349, Tallahassee, FL 32317-5349 Ph: (850) 383-3425	Roy Michael Forman, MD 2140 Centerville Pl, Tallahassee, FL 32308-4342 Ph: (850) 383-3300

Reviews and Comments

Family Medicine Doctors in Tallahassee, FL

Lucille T Saha, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1723 Mahan Center Blvd, Tallahassee, FL 32308 Phone: 850-878-5310 Fax: 850-878-4483
Stewart Drew Warren, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Hodges Dr, Tallahassee, FL 32308 Phone: 850-431-5741 Fax: 850-431-6403
Dr. Christopher W Delisle, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 960 Learning Way, Tallahassee, FL 32306 Phone: 850-644-6230 Fax: 850-644-4251
Dr. Leslie S Emhof, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1525 Killearn Center Blvd, Tallahassee, FL 32309 Phone: 850-893-6706 Fax: 850-893-2846
Victoria Roy Bates, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1491 Governors Square Blvd, Tallahassee, FL 32301 Phone: 850-383-3300 Fax: 850-523-7490
Holly Klopfenstein, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1301 Hodges Dr, Tallahassee, FL 32308 Phone: 850-431-5714 Fax: 850-431-6403
Moritz Eduard Dehler, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 2140 Centerville Pl, Tallahassee, FL 32308 Phone: 850-383-3300 Fax: 850-383-3497

Roy Michael Forman, MD - Medicare Family Medicine in Tallahassee, FL