Martin G Fortier, MD is a medicare enrolled "Emergency Medicine" physician in Wood Dale, Illinois. His current practice location is
199 S Addison Rd, Ste 105-106, Wood Dale, Illinois. You can reach out to his office (for appointments etc.) via phone at
(630) 766-1552.
Martin G Fortier is licensed to practice in Illinois (license number 036062647) 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 1023012077.
Physician's Profile
Full Name | Martin G Fortier |
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Gender | Male |
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Speciality | Emergency Medicine |
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Location | 199 S Addison Rd, Wood Dale, Illinois |
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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: 1023012077
- Provider Enumeration Date: 06/08/2005
- Last Update Date: 09/15/2008
Medicare PECOS Information:
- PECOS PAC ID: 2365431525
- Enrollment ID: I20040511001602
Medical Identifiers
Medical identifiers for Martin G Fortier such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023012077 | NPI | - | NPPES |
02222753 | Other | IL | BCBS |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 036062647 (Illinois) | 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. Martin G Fortier allows following entities to bill medicare on his behalf.
Entity Name | Spring Grove Medical Offices Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740332592 PECOS PAC ID: 7214996701 Enrollment ID: O20041008001269 |
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Entity Name | Gottlieb Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831170232 PECOS PAC ID: 9234156233 Enrollment ID: O20051028000728 |
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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. Martin G Fortier 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 |
Martin G Fortier, MD 199 S Addison Rd, Ste 105-106, Wood Dale, IL 60191-1534 Ph: (630) 766-1552 | Martin G Fortier, MD 199 S Addison Rd, Ste 105-106, Wood Dale, IL 60191-1534 Ph: (630) 766-1552 |
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