Darryl L Fortson, M D | |
2704 N Tenaya Way, Las Vegas, NV 89128-0424 | |
(702) 243-8500 | |
(702) 363-8195 |
Full Name | Darryl L Fortson |
---|---|
Gender | Male |
Speciality | |
Experience | Years |
Location | 2704 N Tenaya Way, Las Vegas, Nevada |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538255823 | NPI | - | NPPES |
200004090B | Medicaid | IN | |
V112580-V112581 | Other | NV | PTAN |
V113132 | Other | NV | SMA MEDICARE |
000000359839 | Other | IN | ANTHEM, BC/BS PROVIDER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 01037803 (Indiana) | Secondary |
207Q00000X | Family Medicine | 01037803A (Indiana) | Secondary |
207Q00000X | Family Medicine | 15697 (Nevada) | Primary |
Mailing Address | Practice Location Address |
---|---|
Darryl L Fortson, M D Po Box 15645, Las Vegas, NV 89114-5645 Ph: (702) 243-8500 | Darryl L Fortson, M D 2704 N Tenaya Way, Las Vegas, NV 89128-0424 Ph: (702) 243-8500 |
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