Karol Enrique Fortich, MD in Winter Haven, FL

Karol Enrique Fortich, MD is a medicare enrolled "Internal Medicine" physician in Winter Haven, Florida. He graduated from medical school in 1988 and has 36 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Medical Home Alliance, Llc and his current practice location is 199 Se Avenue K, Winter Haven, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 299-6700.

Karol Enrique Fortich is licensed to practice in Florida (license number ME107259) 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 1124284468.

Contact Information

	Karol Enrique Fortich, MD
	199 Se Avenue K, Winter Haven, FL 33880
	(863) 299-6700
	(863) 299-6359

Map and Direction

Physician's Profile

Full Name	Karol Enrique Fortich
Gender	Male
Speciality	Internal Medicine
Experience	36 Years
Location	199 Se Avenue K, Winter Haven, Florida
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Karol Enrique Fortich graduated from medical school in 1988

NPI Data:

NPI Number: 1124284468
Provider Enumeration Date: 08/06/2008
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6305033820
Enrollment ID: I20101209001168

Medical Identifiers

Medical identifiers for Karol Enrique Fortich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124284468	NPI	-	NPPES
ME107259	Other	FL	MEDICINE DOCTOR LIC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	57.010862 (Ohio)	Secondary
207R00000X	Internal Medicine	ME107259 (Florida)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Vitas Healthcare Corporation Of Florida	Melbourne, FL	Hospice

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Medical Home Alliance, Llc	6406096536	75

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. Karol Enrique Fortich allows following entities to bill medicare on his behalf.

Entity Name	Medical Home Alliance, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740527811 PECOS PAC ID: 6406096536 Enrollment ID: O20130712000249

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. Karol Enrique Fortich 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
Karol Enrique Fortich, MD 6675 Westwood Blvd Ste 475, Orlando, FL 32821-6027 Ph: (407) 845-0330	Karol Enrique Fortich, MD 199 Se Avenue K, Winter Haven, FL 33880 Ph: (863) 299-6700

Reviews and Comments

Internal Medicine Doctors in Winter Haven, FL

Taha Dias, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 4112 Island Lakes Dr, Winter Haven, FL 33881 Phone: 863-594-8354 Fax: 407-386-7878
Syed Waseemuddin Ahmed Md, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 675 Avenue L Se, Winter Haven, FL 33880 Phone: 863-293-9500 Fax: 863-293-9511
Kajetan M Pochcial, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 1st St N, Winter Haven, FL 33881 Phone: 863-294-0670 Fax: 863-298-3200
Alan L Sallman, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 E Central Ave, Bond Clinic, P.a., Winter Haven, FL 33880 Phone: 863-293-1191 Fax: 863-293-3635
Sammy Moussly, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 325 1st St N, Winter Haven, FL 33881 Phone: 863-293-1191
Dabir A Siddiqui, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 E Central Ave, Winter Haven, FL 33880 Phone: 863-293-1191 Fax: 863-293-3635
Siva K. Bhashyam, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 201 Magnolia Ave Sw, Winter Haven, FL 33880 Phone: 863-269-0210 Fax: 863-824-7097

Karol Enrique Fortich, MD - Medicare Internal Medicine in Winter Haven, FL