Formoso Pain Specialists PA
A Medicare group practice based in Jacksonville, FL: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 3072936772), with 3 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 3072936772
- Provider type
- DME Supplier - Physician - Interventional Pain Management, Part B Supplier - Clinic/Group Practice
- Enrolled in
- FL
- Enrollments
- 2
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 4
Enrollment records 2
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20200714002283 | FL | Part B Supplier - Clinic/Group Practice | 1487270351 |
| O20220317000485 | FL | DME Supplier - Physician - Interventional Pain Management | 1578224135 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Formoso Pain Specialists, PA
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Jacksonville, FL
- NPI 1487270351
-
Formoso Pain Specialists, PA
- Pain Clinic/Center
- Jacksonville, FL
- NPI 1578224135
Practice locations
- Jacksonville, FL3
- Jacksonville Beach, FL1
Clinicians 3
Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).
-
Veronica M. Antoine, MD
- Pain Medicine (Anesthesiology) Physician
- Jacksonville Beach, FL
- NPI 1710932447
-
Ferdinand Joseph Formoso, D.O.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Jacksonville, FL
- NPI 1801000161
-
Franklin Lee Irwin Jr., M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Jacksonville, FL
- NPI 1477563369
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.