Dr Charles Robert Fort, DMD is a medicare enrolled "Dentist" provider in Fort Meade, Florida. His current practice location is
330 East Broadway Street, Fort Meade, Florida. You can reach out to his office (for appointments etc.) via phone at
(863) 285-7121.
Dr Charles Robert Fort is licensed to practice in Florida (license number 8002) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1346328812.
Healthcare Provider's Profile
Full Name | Dr Charles Robert Fort |
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Gender | Male |
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Speciality | Dentist |
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Location | 330 East Broadway Street, Fort Meade, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346328812
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 8123323474
- Enrollment ID: I20160224000751
Medical Identifiers
Medical identifiers for Dr Charles Robert Fort such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346328812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
122300000X | Dentist | 8002 (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. Dr Charles Robert Fort 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 Address | Practice Location Address |
Dr Charles Robert Fort, DMD 330 East Broadway Street, Fort Meade, FL 33841 Ph: (863) 285-7121 | Dr Charles Robert Fort, DMD 330 East Broadway Street, Fort Meade, FL 33841 Ph: (863) 285-7121 |
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