Jamie Vice Fortner, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Oxford, Mississippi. Her current practice location is
1203 Medical Park Dr, Oxford, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(662) 513-4399.
Jamie Vice Fortner is licensed to practice in Mississippi (license number R878817) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992139976.
Physician's Profile
Full Name | Jamie Vice Fortner |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 1203 Medical Park Dr, Oxford, Mississippi |
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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: 1992139976
- Provider Enumeration Date: 08/27/2013
- Last Update Date: 08/28/2014
Medicare PECOS Information:
- PECOS PAC ID: 9830310119
- Enrollment ID: I20141030001238
Medical Identifiers
Medical identifiers for Jamie Vice Fortner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992139976 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | F0613716 (Mississippi) | Secondary |
363LF0000X | Nurse Practitioner - Family | R878817 (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. Jamie Vice Fortner allows following entities to bill medicare on her behalf.
Entity Name | Redmed, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437589157 PECOS PAC ID: 2961633656 Enrollment ID: O20140321001095 |
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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. Jamie Vice 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 |
Jamie Vice Fortner, FNP 1203 Medical Park Dr, Oxford, MS 38655-5327 Ph: (662) 513-4399 | Jamie Vice Fortner, FNP 1203 Medical Park Dr, Oxford, MS 38655-5327 Ph: (662) 513-4399 |
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