Wayne Forman, OD is a medicare enrolled "Optometrist" provider in Carmel, New York. He graduated from medical school in 1981 and has 43 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Optum Medical Care Pc and his current practice location is
664 Stoneleigh Ave, Carmel, New York. You can reach out to his office (for appointments etc.) via phone at
(845) 279-2000.
Wayne Forman is licensed to practice in New York (license number T003976) 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 1780695015.
Healthcare Provider's Profile
| Full Name | Wayne Forman |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 43 Years |
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| Location | 664 Stoneleigh Ave, Carmel, New York |
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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. |
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Medical Education and Training:
- Wayne Forman graduated from medical school in 1981
NPI Data:
- NPI Number: 1780695015
- Provider Enumeration Date: 08/11/2006
- Last Update Date: 11/16/2016
Medicare PECOS Information:
- PECOS PAC ID: 4385741180
- Enrollment ID: I20070511000527
Medical Identifiers
Medical identifiers for Wayne Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780695015 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | T003976 (New York) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Optum Medical Care Pc | 9931013240 | 961 |
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. Wayne Forman allows following entities to bill medicare on his behalf.
| Provider Name | Optum Medical Care Pc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1982643003
PECOS PAC ID: 9931013240
Enrollment ID: O20031119000321 |
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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. Wayne 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 |
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Wayne Forman, OD
110 S Bedford Rd, Caremount Medical Pc,
Mount Kisco, NY 10549-3446
Ph: (914) 241-1050 | Wayne Forman, OD
664 Stoneleigh Ave,
Carmel, NY 10512-3940
Ph: (845) 279-2000 |
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