Sara Formankiewicz, PA-C - Medicare Physician Assistant in Reedsburg, WI

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Sara Formankiewicz, PA-C is a medicare enrolled "Physician Assistant" in Reedsburg, Wisconsin. She graduated from nursing school in 2016 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice The Monroe Clinic, Inc., Mercy Health System Corporation and her current practice location is 2000 N Dewey Ave, Reedsburg, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 768-3900.

Sara Formankiewicz is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467902874.

Contact Information

Sara Formankiewicz, PA-C
2000 N Dewey Ave,
Reedsburg, WI 53959-1049
(608) 768-3900
Not Available

Map and Direction




Provider's Profile

Full NameSara Formankiewicz
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location2000 N Dewey Ave, Reedsburg, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Sara Formankiewicz graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1467902874
  • Provider Enumeration Date: 10/10/2016
  • Last Update Date: 03/10/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8123308525
  • Enrollment ID: I20161130001987

Medical Identifiers

Medical identifiers for Sara Formankiewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467902874NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 3930 (Wisconsin)Secondary
363A00000XPhysician Assistant (* (Not Available))Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercy Health System CorpJanesville, WIHospital
Ssm Health Monroe HospitalMonroe, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The Monroe Clinic, Inc.3072425495199
Mercy Health System Corporation7416860440749

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. Sara Formankiewicz allows following entities to bill medicare on her behalf.
Entity NameThe Monroe Clinic, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1386720548
PECOS PAC ID: 3072425495
Enrollment ID: O20031104000392
Entity NameMercy Health System Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598718603
PECOS PAC ID: 7416860440
Enrollment ID: O20031113000164
Entity NameReedsburg Area Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891796710
PECOS PAC ID: 9830008259
Enrollment ID: O20031208000083
Entity NameSauk Prairie Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1861466153
PECOS PAC ID: 8224948054
Enrollment ID: O20031208000206

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. Sara Formankiewicz 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 AddressPractice Location Address
Sara Formankiewicz, PA-C
2000 N Dewey Ave,
Reedsburg, WI 53959-1049

Ph: (608) 768-3900		Sara Formankiewicz, PA-C
2000 N Dewey Ave,
Reedsburg, WI 53959-1049

Ph: (608) 768-3900

Reviews and Comments


Physician Assistant Nurses in Reedsburg, WI

Katie M Porter, PA-C, ATC
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 2000 N Dewey Ave, Reedsburg, WI 53959
Phone: 608-524-6487    
Mrs. Kelin Barbara Zoellner, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 223 East Main Street, Reedsburg, WI 53959
Phone: 608-768-3333    Fax: 608-768-3335
Jennifer K Schmidt, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1104 21st St, Reedsburg, WI 53959
Phone: 608-768-3900    Fax: 608-524-1870
Rebecca Lynn Coning, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1900 N Dewey Ave, Reedsburg, WI 53959
Phone: 608-524-8611    
Mrs. Elizabeth Dingwall, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2000 N Dewey Ave, Reedsburg, WI 53959
Phone: 608-712-7876    
Allison R. Brey, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1900 N Dewey Ave, Reedsburg, WI 53959
Phone: 608-847-6161    Fax: 608-847-3881
Alecia K Robertson, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 2000 N Dewey Ave, Reedsburg, WI 53959
Phone: 608-524-6487    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.