Richard E Fortier Jr, is a
Psychiatry & Neurology - Psychiatry physician based in New Gloucester, Maine. Richard E Fortier Jr is licensed to practice in Maine (license number 8000) and his current practice location is 60 Pineland Dr, New Gloucester, Maine. He can be reached at his office (for appointments etc.) via phone at
(207) 688-8700.
NPI number for Richard E Fortier Jr is 1104853332 and his current mailing address is 60 Pineland Dr, New Gloucester, Maine. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1104853332.
Physician's Profile
| Full Name | Richard E Fortier Jr |
|---|
| Gender | Male |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 60 Pineland Dr, New Gloucester, Maine |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1104853332
- Provider Enumeration Date: 06/26/2006
- Last Update Date: 03/23/2010
Medical Identifiers
Medical identifiers for Richard E Fortier Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104853332 | NPI | - | NPPES |
| 002189 | Other | ME | STAR NUMBER |
| 203580000 | Medicaid | ME | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 8000 (Maine) | 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. Richard E Fortier Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Richard E Fortier Jr,
60 Pineland Dr,
New Gloucester, ME 04260-5124
Ph: (207) 688-8700 | Richard E Fortier Jr,
60 Pineland Dr,
New Gloucester, ME 04260-5124
Ph: (207) 688-8700 |
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