Kenneth Gerald Fortress, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Vincennes, Indiana. His current practice location is
520 S 7th St, Vincennes, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 882-5220.
Kenneth Gerald Fortress is licensed to practice in Indiana (license number 01032775A) 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 1487650180.
Physician's Profile
| Full Name | Kenneth Gerald Fortress |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 520 S 7th St, Vincennes, Indiana |
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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:
- Kenneth Gerald Fortress attended and graduated from in
NPI Data:
- NPI Number: 1487650180
- Provider Enumeration Date: 06/27/2005
- Last Update Date: 04/26/2022
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kenneth Gerald Fortress such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487650180 | NPI | - | NPPES |
| 176600A | Other | IN | MEDICARE |
| CB5232 | Other | IN | RAIL ROAD MEDICARE |
| 111890C | Other | IN | MEDICARE |
| 100259680A | Medicaid | IN | |
| 000000082508 | Other | IN | ANTHEM |
| CA8380 | Other | IN | RAIL ROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 01032775A (Indiana) | Primary |
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. Kenneth Gerald Fortress 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 |
|---|
Kenneth Gerald Fortress, MD
Po Box 5628,
Lafayette, IN 47903-5628
Ph: (765) 448-4319 | Kenneth Gerald Fortress, MD
520 S 7th St,
Vincennes, IN 47591-1038
Ph: (812) 882-5220 |
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