Gary Fornera, is a medicare enrolled "Obstetrics & Gynecology" physician in Mc Kenzie, Tennessee. He went to East Tennessee State University Quillen College Of Medicine and graduated in 1984 and has 40 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice Upmc Wellsboro and his current practice location is
205 Hospital Dr, Suite A, Mc Kenzie, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(731) 352-7907.
Gary Fornera is licensed to practice in Tennessee (license number MD44135) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265464887.
Physician's Profile
| Full Name | Gary Fornera |
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| Gender | Male |
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| Speciality | Obstetrics/gynecology |
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| Experience | 40 Years |
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| Location | 205 Hospital Dr, Mc Kenzie, Tennessee |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Gary Fornera attended and graduated from East Tennessee State University Quillen College Of Medicine in 1984
NPI Data:
- NPI Number: 1265464887
- Provider Enumeration Date: 07/06/2006
- Last Update Date: 11/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729986898
- Enrollment ID: I20190613000036
Medical Identifiers
Medical identifiers for Gary Fornera such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1265464887 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | 01095188A (Indiana) | Secondary |
| 207V00000X | Obstetrics & Gynecology | MD44135 (Tennessee) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
|---|
| Upmc Wellsboro | Wellsboro, PA | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Upmc Wellsboro | 5294710414 | 27 |
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. Gary Fornera allows following entities to bill medicare on his behalf.
| Entity Name | Tioga Health Care Providers Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548609738
PECOS PAC ID: 3375597792
Enrollment ID: O20131024001380 |
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| Entity Name | Upmc Wellsboro |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1427501766
PECOS PAC ID: 5294710414
Enrollment ID: O20160913001277 |
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| Entity Name | Upmc Wellsboro |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275090433
PECOS PAC ID: 5294710414
Enrollment ID: O20190709001759 |
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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. Gary Fornera 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 |
|---|
Gary Fornera,
205 Hospital Dr, Suite A,
Mc Kenzie, TN 38201-1649
Ph: () - | Gary Fornera,
205 Hospital Dr, Suite A,
Mc Kenzie, TN 38201-1649
Ph: (731) 352-7907 |
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