Teri S Formanek, MD is a medicare enrolled "Orthopaedic Surgery" physician in Winterset, Iowa. He went to University Of Iowa, Rj & L Carver College Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Hand Surgery. He is a member of the group practice Adair County Memorial Hospital, Madison County Memorial Hospital and his current practice location is
300 W Hutchings St, Winterset, Iowa. You can reach out to his office (for appointments etc.) via phone at
(515) 462-2373.
Teri S Formanek is licensed to practice in Iowa (license number 26239) 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 1982644993.
Physician's Profile
Full Name | Teri S Formanek |
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Gender | Male |
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Speciality | Hand Surgery |
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Experience | 38 Years |
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Location | 300 W Hutchings St, Winterset, Iowa |
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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:
- Teri S Formanek attended and graduated from University Of Iowa, Rj & L Carver College Of Medicine in 1986
NPI Data:
- NPI Number: 1982644993
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 02/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 6204828890
- Enrollment ID: I20100602000422
Medical Identifiers
Medical identifiers for Teri S Formanek such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982644993 | NPI | - | NPPES |
2083659 | Medicaid | IA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 26239 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Adair County Memorial Hospital | 3072403153 | 12 |
Madison County Memorial Hospital | 6002727179 | 29 |
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. Teri S Formanek allows following entities to bill medicare on his behalf.
Entity Name | Madison County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093929390 PECOS PAC ID: 6002727179 Enrollment ID: O20031126000714 |
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Entity Name | Adair County Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366531345 PECOS PAC ID: 3072403153 Enrollment ID: O20040319001441 |
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Entity Name | Madison County Memorial Hospital |
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Entity Type | Part A Provider - Critical Access Hospital |
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Entity Identifiers | NPI Number: 1831104611 PECOS PAC ID: 6002727179 Enrollment ID: O20061104000214 |
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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. Teri S Formanek 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 |
Teri S Formanek, MD 300 W Hutchings St, Winterset, IA 50273-2109 Ph: (515) 462-2373 | Teri S Formanek, MD 300 W Hutchings St, Winterset, IA 50273 Ph: (515) 462-2373 |
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