George S Fortner, MD in Longview, WA

George S Fortner, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Longview, Washington. His current practice location is 1615 Delaware St, Longview, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 501-3500.

George S Fortner is licensed to practice in Washington (license number MD00016906) 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 1154329324.

Contact Information

	George S Fortner, MD
	1615 Delaware St, Longview, WA 98632-2310
	(360) 501-3500
	(360) 501-3555

Map and Direction

Physician's Profile

Full Name	George S Fortner
Gender	Male
Speciality	Surgery - Vascular Surgery
Location	1615 Delaware St, Longview, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154329324
Provider Enumeration Date: 07/12/2005
Last Update Date: 11/14/2007

Medicare PECOS Information:

PECOS PAC ID: 2668386095
Enrollment ID: I20070315000352

Medical Identifiers

Medical identifiers for George S Fortner such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154329324	NPI	-	NPPES
8395006	Medicaid	WA
8943476	Other	WA	CRIME VICTIMS
160747	Medicaid	OR
0217049	Other	WA	LABOR & IND.

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2086S0129X	Surgery - Vascular Surgery	MD00016906 (Washington)	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. George S Fortner allows following entities to bill medicare on his behalf.

Entity Name	Peacehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720056187 PECOS PAC ID: 5890689293 Enrollment ID: O20040209000272

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. George S Fortner 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
George S Fortner, MD Po Box 3002, Longview, WA 98632-0302 Ph: (360) 414-2048	George S Fortner, MD 1615 Delaware St, Longview, WA 98632-2310 Ph: (360) 501-3500

Reviews and Comments

Surgery Doctors in Longview, WA

Susan Laurie Morrison, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555
Virginia S. Huang, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Suite 200, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555
Dr. Dane L. Moseson, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1615 Delaware St, Suite 200, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555
Christine M. Katterhagen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555
Mario D. Forte, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555
Dr. Corey S Johnson, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500

George S Fortner, MD - Medicare Surgery in Longview, WA