Rachel Fortune, MD is a medicare enrolled "Pediatrics - Adolescent Medicine" physician in Bethlehem, Connecticut. Her current practice location is
64 Double Hill Rd, Bethlehem, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(303) 854-8888.
Rachel Fortune is licensed to practice in Connecticut (license number 51267) 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 1184779555.
Physician's Profile
Full Name | Rachel Fortune |
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Gender | Female |
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Speciality | Pediatrics - Adolescent Medicine |
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Location | 64 Double Hill Rd, Bethlehem, Connecticut |
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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: 1184779555
- Provider Enumeration Date: 01/24/2007
- Last Update Date: 07/11/2014
Medicare PECOS Information:
- PECOS PAC ID: 4082715198
- Enrollment ID: I20180112001236
Medical Identifiers
Medical identifiers for Rachel Fortune such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1184779555 | NPI | - | NPPES |
49437518 | Medicaid | CO | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080A0000X | Pediatrics - Adolescent Medicine | 51267 (Connecticut) | 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. Rachel Fortune allows following entities to bill medicare on her behalf.
Entity Name | Walden Behavioral Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1992778781 PECOS PAC ID: 0042121659 Enrollment ID: O20041001000593 |
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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. Rachel Fortune 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 |
Rachel Fortune, MD 16 Richard Sweet Dr, Woodbridge, CT 06525-1126 Ph: (303) 854-8888 | Rachel Fortune, MD 64 Double Hill Rd, Bethlehem, CT 06751-1101 Ph: (303) 854-8888 |
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