Laura Forman, - Medicare Emergency Medicine in Pawtucket, RI

Laura Forman, is a medicare enrolled "Emergency Medicine" physician in Pawtucket, Rhode Island. She went to University Of Vermont College Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Affinity Physicians Llc. and her current practice location is 111 Brewster St, Pawtucket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 729-2191.

Laura Forman is licensed to practice in Rhode Island (license number MD12738) 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 1285847467.

Contact Information

Laura Forman,
111 Brewster St,
Pawtucket, RI 02860-4474
(401) 729-2191
Not Available



Physician's Profile

Full NameLaura Forman
GenderFemale
SpecialityEmergency Medicine
Experience19 Years
Location111 Brewster St, Pawtucket, Rhode Island
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:
  • Laura Forman attended and graduated from University Of Vermont College Of Medicine in 2005
  NPI Data:
  • NPI Number: 1285847467
  • Provider Enumeration Date: 05/07/2007
  • Last Update Date: 08/02/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9931263258
  • Enrollment ID: I20090202000421

Medical Identifiers

Medical identifiers for Laura Forman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285847467NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine MD12738 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kent County Memorial HospitalWarwick, RIHospital
Elizabethtown Community HospitalElizabethtown, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Affinity Physicians Llc.0244413391619

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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. Laura Forman allows following entities to bill medicare on her behalf.
Entity NameAffinity Physicians Llc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184944662
PECOS PAC ID: 0244413391
Enrollment ID: O20110326000053

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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. Laura 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 AddressPractice Location Address
Laura Forman,
111 Brewster St,
Pawtucket, RI 02860-4474

Ph: (401) 729-2191
Laura Forman,
111 Brewster St,
Pawtucket, RI 02860-4474

Ph: (401) 729-2191

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Emergency Medicine Doctors in Pawtucket, RI

John Riedel, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860
Phone: 401-729-2191    Fax: 401-729-2517
Michael S Siclari, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 111 Brewster Street, Pawtucket, RI 02860
Phone: 401-729-2419    Fax: 401-729-2517
James P O'hair, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 100 Smithfield Ave, Pawtucket, RI 02860
Phone: 401-725-8600    Fax: 401-725-8064
Marcia Robitaille, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 111 Brewster St, Department Of Emergency Medicine, Pawtucket, RI 02860
Phone: 401-729-2191    Fax: 401-729-2517
Dr. Kristin Lynch Gregg, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Brewster Street, Pawtucket, RI 02860
Phone: 401-729-2419    
Amir Bernaba, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 111 Brewster St, Pawtucket, RI 02860
Phone: 401-729-2419    Fax: 401-729-2517

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