Mr Matthew G Fortino, is a
Psychologist - Clinical based in Fort Myers, Florida. Mr Matthew G Fortino is licensed to practice in Florida (license number PY12541) and his current practice location is
8960 Colonial Center Dr Ste 300, Fort Myers, Florida. He can be reached at his office (for appointments etc.) via phone at
(239) 343-3831.
NPI number for Mr Matthew G Fortino is 1396296968 and his current mailing address is Po Box 2147, Fort Myers, Florida. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1396296968.
Healthcare Provider's Profile
| Full Name | Mr Matthew G Fortino |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 8960 Colonial Center Dr Ste 300, Fort Myers, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1396296968
- Provider Enumeration Date: 10/19/2016
- Last Update Date: 01/13/2025
Medical Identifiers
Medical identifiers for Mr Matthew G Fortino such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396296968 | NPI | - | NPPES |
| 125194700 | Medicaid | FL | |
| 931026892 | Other | NY | UNITED HEALTHCARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY12541 (Florida) | Primary |
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. Mr Matthew G Fortino is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Matthew G Fortino,
Po Box 2147,
Fort Myers, FL 33902-2147
Ph: (239) 343-9470 | Mr Matthew G Fortino,
8960 Colonial Center Dr Ste 300,
Fort Myers, FL 33905-7810
Ph: (239) 343-3831 |
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