Anthony Lee Fortin, MD - Medicare Radiology in Jackson, MS

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Anthony Lee Fortin, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Jackson, Mississippi. His current practice location is 2500 N State St, Radiology, Jackson, Mississippi. You can reach out to his office (for appointments etc.) via phone at (601) 984-2500.

Anthony Lee Fortin is licensed to practice in Mississippi (license number 26214) 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 1437680899.

Contact Information

Anthony Lee Fortin, MD
2500 N State St, Radiology,
Jackson, MS 39216-4500
(601) 984-2500
Not Available

Map and Direction




Physician's Profile

Full NameAnthony Lee Fortin
GenderMale
SpecialityRadiology - Diagnostic Radiology
Location2500 N State St, Jackson, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1437680899
  • Provider Enumeration Date: 03/27/2017
  • Last Update Date: 08/07/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 8325318801
  • Enrollment ID: I20220908002149

Medical Identifiers

Medical identifiers for Anthony Lee Fortin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437680899NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology T-3337 (Mississippi)Secondary
2085R0202XRadiology - Diagnostic Radiology 26214 (Mississippi)Primary

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. Anthony Lee Fortin allows following entities to bill medicare on his behalf.
Entity NameFranklin County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669705612
PECOS PAC ID: 2466355243
Enrollment ID: O20040129000396
Entity NameHattiesburg Clinic Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740213446
PECOS PAC ID: 5193706794
Enrollment ID: O20040528000685
Entity NameComprehensive Radiology Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992731590
PECOS PAC ID: 1759364946
Enrollment ID: O20040609000828
Entity NameField Memorial Community Hospital
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1770574048
PECOS PAC ID: 0547248544
Enrollment ID: O20071205000305
Entity NameState Of Mississippi - University Of Mississippi Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154317527
PECOS PAC ID: 1850293036
Enrollment ID: O20090414000575

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. Anthony Lee Fortin 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
Anthony Lee Fortin, MD
2500 N State St, Radiology,
Jackson, MS 39216-4500

Ph: (601) 984-2500		Anthony Lee Fortin, MD
2500 N State St, Radiology,
Jackson, MS 39216-4500

Ph: (601) 984-2500

Reviews and Comments


Radiology Doctors in Jackson, MS

Dr. Christophor D Reed, DO
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Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-815-5615    
Dr. Patrick James Robbins, M.D.
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Practice Location: 2500 N State St, Jackson, MS 39216
Phone: 601-984-5600    Fax: 601-984-5608
Dr. Richard B Friedman, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 1225 N State St, Jackson, MS 39202
Phone: 601-968-1416    Fax: 601-968-1218
Teddi Leigh Berry, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Department Of Radiology, Jackson, MS 39216
Phone: 601-984-2695    Fax: 601-984-2683
Katherine Leigh Ragland, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 2500 N State St, Dept. Of Radiology, Jackson, MS 39216
Phone: 601-984-2538    
Wayne Fai Chan, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Woodrow Wilson Ave, Radiation Therapy, Jackson, MS 39216
Phone: 601-362-4471    Fax: 601-364-1588
Dr. Mary Oneal, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216
Phone: 601-362-4471    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.