Tara Marie Formisano, DO in Springfield, MA

Tara Marie Formisano, DO is a medicare enrolled "Family Medicine" physician in Springfield, Massachusetts. Her current practice location is 759 Chestnut St, Springfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 794-0000.

Tara Marie Formisano is licensed to practice in Massachusetts (license number 1015917) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1548720121.

Contact Information

	Tara Marie Formisano, DO
	759 Chestnut St, Springfield, MA 01199-0001
	(413) 794-0000
	Not Available

Map and Direction

Physician's Profile

Full Name	Tara Marie Formisano
Gender	Female
Speciality	Family Medicine
Location	759 Chestnut St, Springfield, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548720121
Provider Enumeration Date: 03/21/2019
Last Update Date: 10/13/2023

Medicare PECOS Information:

PECOS PAC ID: 3678808532
Enrollment ID: I20230803002860

Medical Identifiers

Medical identifiers for Tara Marie Formisano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548720121	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1015917 (Massachusetts)	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. Tara Marie Formisano allows following entities to bill medicare on her behalf.

Entity Name	Caring Health Center, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659476356 PECOS PAC ID: 7315840386 Enrollment ID: O20040128000503

Entity Name	Baystate Medical Practices Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548205909 PECOS PAC ID: 5991602971 Enrollment ID: O20040225000080

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. Tara Marie Formisano 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
Tara Marie Formisano, DO 759 Chestnut St, Springfield, MA 01199-0001 Ph: (413) 794-0000	Tara Marie Formisano, DO 759 Chestnut St, Springfield, MA 01199-0001 Ph: (413) 794-0000

Reviews and Comments

Family Medicine Doctors in Springfield, MA

Jeffrey S Fulford, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 380 Plainfield St, Springfield, MA 01199 Phone: 413-794-4458 Fax: 413-794-9434
Dr. Ira Helfand, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 Allen St, Springfield, MA 01118 Phone: 413-783-9114 Fax: 413-782-0960
Mary E King, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Stafford St, Ste 300, Springfield, MA 01104 Phone: 413-736-1569 Fax: 413-746-6066
Dr. Karen M Hoyt, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 354 Birnie Ave Ste 202, Springfield, MA 01107 Phone: 413-733-3470 Fax: 413-732-4216
Dr. John J Alifano, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 Allen St, Springfield, MA 01118 Phone: 413-783-9114 Fax: 413-782-0960
Brina Fondi, NP-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 759 Chestnut St, Springfield, MA 01199 Phone: 413-794-0000
Kevin E Schmidt, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 300 Stafford St, Ste 300, Springfield, MA 01104 Phone: 413-736-1569 Fax: 413-746-6066

Tara Marie Formisano, DO - Medicare Family Medicine in Springfield, MA