- Medicare Primary Care in Forest City, PA

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Forest City, Pennsylvania. The current practice location for is 100 Dundaff St, Forest City, Pennsylvania. For appointments, you can reach them via phone at (570) 785-3194. The mailing address for is 601 Park St, Honesdale, Pennsylvania and phone number is (570) 251-6641.

is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1225304603. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (570) 785-3194.

Contact Information

100 Dundaff St
Forest City
PA 18421-1317
(570) 785-3194
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location100 Dundaff St, Forest City, Pennsylvania
Authorized Official Name and PositionFrederick Jackson (EXCECUTIVE DIRECTOR)
Authorized Official Contact5702538450
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

601 Park St
Honesdale
PA 18431-1445

Ph: (570) 251-6641
100 Dundaff St
Forest City
PA 18421-1317

Ph: (570) 785-3194

NPI Details:

NPI Number1225304603
Provider Enumeration Date03/29/2012
Last Update Date08/28/2020

Medicare PECOS Information:

Medicare PECOS PAC ID3072598937
Medicare Enrollment IDO20120628000310

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225304603NPI-NPPES
1007765560020MedicaidPA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Secondary
207R00000XInternal Medicine (* (Not Available))Secondary
207VX0000XObstetrics & Gynecology - Obstetrics (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary

Reviews and Comments


Clinic/Center in Forest City, PA

David R. Tomazic, D.o., Llc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 632 Main St, Forest City, PA 18421
Phone: 570-785-5599    Fax: 570-785-3552

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.