Peter Formale, DPT in Holly Springs, NC - Medicare Physical Therapist Provider

Peter Formale, DPT is a medicare enrolled "Physical Therapist" provider in Holly Springs, North Carolina. His current practice location is 500 Village Walk Dr, Holly Springs, North Carolina. You can reach out to his office (for appointments etc.) via phone at (919) 258-2200.

Peter Formale is licensed to practice in North Carolina (license number P22974) 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 1366203929.

Contact Information

	Peter Formale, DPT
	500 Village Walk Dr, Holly Springs, NC 27540-4440
	(919) 258-2200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Peter Formale
Gender	Male
Speciality	Physical Therapist
Location	500 Village Walk Dr, Holly Springs, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1366203929
Provider Enumeration Date: 01/22/2024
Last Update Date: 02/14/2024

Medicare PECOS Information:

PECOS PAC ID: 5395183537
Enrollment ID: I20240405002952

Medical Identifiers

Medical identifiers for Peter Formale such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366203929	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	P22974 (North Carolina)	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. Peter Formale allows following entities to bill medicare on his behalf.

Provider Name	Ivyrehab North Carolina Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1629568647 PECOS PAC ID: 8820336324 Enrollment ID: O20190207001822

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. Peter Formale 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
Peter Formale, DPT Po Box 412313, Boston, MA 02241-2313 Ph: (914) 294-4050	Peter Formale, DPT 500 Village Walk Dr, Holly Springs, NC 27540-4440 Ph: (919) 258-2200

Reviews and Comments

Physical Therapist in Holly Springs, NC

Vishwa Bhargav Bhalodia, PHYSICAL THERAPIST Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Village Walk Dr, Holly Springs, NC 27540 Phone: 919-258-2200
Mr. Douglas Dennis Frie, MAPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Bryce Meadow Dr, Holly Springs, NC 27540 Phone: 919-267-3114
Sean Thomas Nixon, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 500 Village Walk Dr, Holly Springs, NC 27540 Phone: 919-258-2200
Mrs. Kelly Ommundsen, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4302 Osage Dr, Holly Springs, NC 27540 Phone: 609-213-3059
Mrs. Courtney Fortune Davis, MPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 6213 Hilbert Ridge Dr, Holly Springs, NC 27540 Phone: 252-341-3392
Dr. Jibran Qayumi, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 204 Matthews Drive, Holly Springs, NC 27540 Phone: 919-578-4200 Fax: 919-578-9922
Erin Kane, PT, DPT, ATC Physical Therapist Medicare: Medicare Enrolled Practice Location: 600 Village Walk Dr Ste A, Holly Springs, NC 27540 Phone: 919-346-8654

Peter Formale, DPT - Medicare Physical Therapist in Holly Springs, NC