Mr Zachary Forman, DPT in Coram, NY - Medicare Physical Therapist Provider

Mr Zachary Forman, DPT is a medicare enrolled "Physical Therapist" provider in Coram, New York. His current practice location is 607 Middle Country Rd, Coram, New York. You can reach out to his office (for appointments etc.) via phone at (631) 732-3900.

Mr Zachary Forman is licensed to practice in New York (license number 050710) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437932787.

Contact Information

	Mr Zachary Forman, DPT
	607 Middle Country Rd, Coram, NY 11727-3362
	(631) 732-3900
	(631) 732-3908

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Zachary Forman
Gender	Male
Speciality	Physical Therapist
Location	607 Middle Country Rd, Coram, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437932787
Provider Enumeration Date: 08/18/2023
Last Update Date: 08/18/2023

Medicare PECOS Information:

PECOS PAC ID: 2769839208
Enrollment ID: I20231106001838

Medical Identifiers

Medical identifiers for Mr Zachary Forman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437932787	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	050710 (New York)	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. Mr Zachary Forman allows following entities to bill medicare on his behalf.

Provider Name	Island Sports Physical Therapy Of Coram Pc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1083681613 PECOS PAC ID: 6406747526 Enrollment ID: O20040320000093

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. Mr Zachary 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
Mr Zachary Forman, DPT 607 Middle Country Rd, Coram, NY 11727-3362 Ph: (631) 732-3900	Mr Zachary Forman, DPT 607 Middle Country Rd, Coram, NY 11727-3362 Ph: (631) 732-3900

Reviews and Comments

Physical Therapist in Coram, NY

Mrs. Amy W Maragioglio, PT, ATC Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Middle Country Road, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3908
James Cutreal Phillips, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900
Tyler Roden, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900
Island Sports Physical Therapy Of Coram Pc Physical Therapist Medicare: Medicare Enrolled Practice Location: 607 Middle Country Road, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3900
Susan Neel Gilleeny Behrens, D.P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 607 Middle Country Rd, Coram, NY 11727 Phone: 631-732-3900 Fax: 631-732-3908
Kathryn Laino, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Wellsley Ln, Coram, NY 11727 Phone: 631-478-1885
John Joel Uy, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 22 Camp Fire Ln, Coram, NY 11727 Phone: 631-451-0225

Mr Zachary Forman, DPT - Medicare Physical Therapist in Coram, NY