Paula J Fortner, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" physician in Logan, Ohio. Her current practice location is
225 E Main St, Logan, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 380-9537.
Paula J Fortner is licensed to practice in Ohio (license number APRN.CNP.16625) 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 1639577026.
Physician's Profile
| Full Name | Paula J Fortner |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 225 E Main St, Logan, Ohio |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1639577026
- Provider Enumeration Date: 12/17/2014
- Last Update Date: 09/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426373135
- Enrollment ID: I20150220000404
Medical Identifiers
Medical identifiers for Paula J Fortner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639577026 | NPI | - | NPPES |
| 0136731 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | APRN.CNP.16625 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.16625 (Ohio) | 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. Paula J Fortner allows following entities to bill medicare on her behalf.
| Entity Name | Scott J Anzalone |
|---|
| Entity Type | Practitioner - Family Practice |
|---|
| Entity Identifiers | NPI Number: 1275544579
PECOS PAC ID: 5496776379
Enrollment ID: I20051207001101 |
|---|
| Entity Name | Osup Community Outreach Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1699179929
PECOS PAC ID: 5799008082
Enrollment ID: O20141217001070 |
|---|
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. Paula J 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 |
|---|
Paula J Fortner, APRN-CNP
225 E Main St,
Logan, OH 43138-1305
Ph: () - | Paula J Fortner, APRN-CNP
225 E Main St,
Logan, OH 43138-1305
Ph: (740) 380-9537 |
Reviews and Comments