Seth Benjamin Forman (NPI# 1346304540, PAC ID# 0749381192) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DERMATOLOGY.
| Nation Provider ID (NPI) | 1346304540 |
| PAC ID by PECOS | 0749381192 |
| Professional Enrollment ID | I20070730000076 |
| Full Name | Seth Benjamin Forman |
| Organization Legal Name | BERNARD F GERMAIN, MD PA |
| Address |
15416 N Florida Ave Tampa FL 33613-1244 |
| Phone Number | 8139602400 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF VIRGINIA COMMONWEALTH UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | DERMATOLOGY |
| Group Practice PAC ID | 3476720939 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 15416 N Florida Ave, Tampa, FL 33613-1244 | 8139602400 | BERNARD F GERMAIN, MD PA |
| 4915 Ehrlich Rd, Forcare Medical Group, Tampa, FL 33624-2038 | 8139602400 | BERNARD F GERMAIN, MD PA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 83% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 98% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 78% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 2% | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 0% | |
| MIPS_EC_047_overall | Care Plan | 60% | |
| MIPS_EC_137_overall | Melanoma: Continuity of Care - Recall System | 2% | |
| MIPS_EC_337_overall | Tuberculosis (TB) Prevention for Psoriasis, Psoriatic Arthritis and Rheumatoid Arthritis Patients on a Biological Immune Response Modifier | 43% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 81% |
| Organization Legal Name | BERNARD F GERMAIN, MD PA |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bernard F Germain | Internal Medicine | Bernard F Germain, Md Pa | 13801 Bruce B Downs Boulevard, Suite 101, Tampa, FL 33613-3911 |
| Maria Hicks | Dermatology | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| Priya Ramani | Rheumatology | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| Casey Lin Viera | Nurse Practitioner | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| Tanya R Bogle | Family Medicine | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| Street Address |
15416 N FLORIDA AVE |
| City | TAMPA |
| State | FL |
| Zip | 33613-1244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maria Hicks | Dermatology | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| Priya Ramani | Rheumatology | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| Casey Lin Viera | Nurse Practitioner | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| Tanya R Bogle | Family Medicine | Bernard F Germain, Md Pa | 15416 N Florida Ave, Tampa, FL 33613-1244 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shani V Davis | Nurse Practitioner | 15511 N Florida Ave, Suite 502, Tampa, FL 33613-1215 | |
| Nektarios S Demetriou | Family Medicine | Florida Hospital Physician Group Inc | 15511 N Florida Ave, Suite 401, Tampa, FL 33613-1220 |
| Alan J Iezzi | Family Medicine | Florida Hospital Physician Group Inc | 15511 N Florida Ave, Suite 401, Tampa, FL 33613-1220 |
| Richard Temple | Psychologist, Clinical | 322 W Bearss Ave, Tampa, FL 33613-1228 | |
| James W Batson Jr. | Chiropractic | 326 W Bearss Ave, Tampa, FL 33613-1266 | |
| Lloyd Firestone | Optometry | 14958 N Florida Ave, Tampa, FL 33613-1626 | |
| Pierrot Jeannot | Internal Medicine | Optumcare Florida, LLC | 14701 N Florida Ave, Tampa, FL 33613-1823 |
| Martha J Pena | Nurse Practitioner | Optumcare Florida, LLC | 14701 N Florida Ave, Tampa, FL 33613-1823 |
| Rajay D Seudath | Family Medicine | Optumcare Florida, LLC | 14701 N Florida Ave, Tampa, FL 33613-1823 |
| Dipak Shah | Internal Medicine | Davita Medical Florida, Inc. | 14701 N Florida Ave, Tampa, FL 33613-1823 |
| Find all physicians in zip 33613 | |||
| City | TAMPA |
| Zip Code | 33613 |
| Specialty | DERMATOLOGY |
| City + Specialty | TAMPA + DERMATOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.