Mary Bernadette Fortini, DO in Salt Lake City, UT

Mary Bernadette Fortini, DO is a medicare enrolled "Pediatrics - Pediatric Infectious Diseases" physician in Salt Lake City, Utah. Her current practice location is 81 N Mario Capecchi Dr, Salt Lake City, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 213-3599.

Mary Bernadette Fortini is licensed to practice in Utah (license number 12831176-1204) 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 1689025702.

Contact Information

	Mary Bernadette Fortini, DO
	81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125
	(801) 213-3599
	(015) 853-7898

Map and Direction

Physician's Profile

Full Name	Mary Bernadette Fortini
Gender	Female
Speciality	Pediatrics - Pediatric Infectious Diseases
Location	81 N Mario Capecchi Dr, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689025702
Provider Enumeration Date: 06/30/2016
Last Update Date: 04/22/2024

Medicare PECOS Information:

PECOS PAC ID: 4789979048
Enrollment ID: I20220810001591

Medical Identifiers

Medical identifiers for Mary Bernadette Fortini such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689025702	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	7826 (Nebraska)	Secondary
2080P0208X	Pediatrics - Pediatric Infectious Diseases	12831176-1204 (Utah)	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. Mary Bernadette Fortini allows following entities to bill medicare on her behalf.

Entity Name	University Of Utah Pediatric Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487018974 PECOS PAC ID: 0547552473 Enrollment ID: O20160713000371

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. Mary Bernadette Fortini 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
Mary Bernadette Fortini, DO 982185 Nebraska Medical Ctr, Omaha, NE 68198-2185 Ph: () -	Mary Bernadette Fortini, DO 81 N Mario Capecchi Dr, Salt Lake City, UT 84113-1125 Ph: (801) 213-3599

Reviews and Comments

Pediatrics Doctors in Salt Lake City, UT

Kristina Mckinley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital, 30 North 1900 East, Rm 1c412, Salt Lake City, UT 84132 Phone: 801-581-2401
Dr. Zainab Kagen, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Ste 14, Salt Lake City, UT 84108 Phone: 801-585-6943
Kaitlin Carpenter, Pediatrics Medicare: Medicare Enrolled Practice Location: 100 Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-1000
Dr. Thomas Patrick Curtin, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 81 N Mario Capecchi Dr, Salt Lake City, UT 84113 Phone: 801-662-5700
Anastasiya Mankouski, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-7000
Joslynn Marie Hoburg, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 295 S Chipeta Way Rm 2s010, Salt Lake City, UT 84108 Phone: 801-581-2121
George W Delavan, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 44 N Mario Capecchi Dr, Salt Lake City, UT 84132 Phone: 801-584-8239 Fax: 801-584-8588

Mary Bernadette Fortini, DO - Medicare Pediatrics in Salt Lake City, UT