Mistee L Formica, CNM in Orlando, FL - Medicare Advanced Practice Midwife

Mistee L Formica, CNM is a medicare enrolled "Advanced Practice Midwife" in Orlando, Florida. Her current practice location is 235 E Princeton St Ste 200, Orlando, Florida. You can reach out to her office (for appointments etc.) via phone at (407) 303-1444.

Mistee L Formica is licensed to practice in Florida (license number APRN11026120) 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 1528228996.

Contact Information

	Mistee L Formica, CNM
	235 E Princeton St Ste 200, Orlando, FL 32804-5555
	(407) 303-1444
	(407) 303-1446

Map and Direction

Provider's Profile

Full Name	Mistee L Formica
Gender	Female
Speciality	Advanced Practice Midwife
Location	235 E Princeton St Ste 200, Orlando, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1528228996
Provider Enumeration Date: 06/10/2008
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 8224281647
Enrollment ID: I20230822000311

Medical Identifiers

Medical identifiers for Mistee L Formica such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1528228996	NPI	-	NPPES
7002155	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	431 (North Carolina)	Secondary
367A00000X	Advanced Practice Midwife	APRN11026120 (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. Mistee L Formica allows following entities to bill medicare on her behalf.

Entity Name	Florida Hospital Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225034234 PECOS PAC ID: 0749186153 Enrollment ID: O20031208000807

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. Mistee L 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
Mistee L Formica, CNM 235 E Princeton St Ste 200, Orlando, FL 32804-5555 Ph: (407) 303-1444	Mistee L Formica, CNM 235 E Princeton St Ste 200, Orlando, FL 32804-5555 Ph: (407) 303-1444

Reviews and Comments

Advanced Practice Midwife Nurses in Orlando, FL

Mrs. Elizabeth Bonet, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 601 E Rollins St, Orlando, FL 32803 Phone: 407-975-0406 Fax: 407-975-0407
Ms. Jennifer L Koskinen, A.P.R.N., C.N.M. Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 737 N Apopka Vineland Rd Ste 500, Orlando, FL 32818 Phone: 407-630-5300
Ms. Tracy M Cowart, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 10524 Moss Park Rd Ste 204-603, Orlando, FL 32832 Phone: 407-974-7171
Ms. Tammy Jeanette Hess, ARNP/CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 7472 Docs Grove Cir, Orlando, FL 32819 Phone: 407-381-7336 Fax: 407-351-6872
Tabitha Faith Clayton, ARNP, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 83 W Miller St, Orlando, FL 32806 Phone: 321-841-5281 Fax: 407-648-9879
Natalie Thornhill, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 83 W Miller St, Orlando, FL 32806 Phone: 321-842-9863 Fax: 407-648-9879
Norma Iris Osorio De Arboleda, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 840 Mercy Dr, Orlando, FL 32808 Phone: 407-905-8827 Fax: 407-905-8998

Mistee L Formica, CNM - Medicare Advanced Practice Midwife in Orlando, FL