Courtney Fortner, FNP | |
1024 M.l.k. Jr. Dr., Marks, MS 38646 | |
(662) 326-3502 | |
Not Available |
Full Name | Courtney Fortner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 3 Years |
Location | 1024 M.l.k. Jr. Dr., Marks, Mississippi |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1841951928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | 904455 (Mississippi) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | 905127 (Mississippi) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Sta Home Health And Hospice | Greenwood, MS | Home health agency |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Delta Medical Foundation | 2163777046 | 8 |
Entity Name | Delta Medical Foundation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508363060 PECOS PAC ID: 2163777046 Enrollment ID: O20180618001135 |
Mailing Address | Practice Location Address |
---|---|
Courtney Fortner, FNP 1024 Martin Luther King Dr, Marks, MS 38646-1832 Ph: (662) 326-3502 | Courtney Fortner, FNP 1024 M.l.k. Jr. Dr., Marks, MS 38646 Ph: (662) 326-3502 |
Seng P Pang, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 340 Getwell St, Marks, MS 38646 Phone: 662-902-7531 | |
Mr. George Edward Farrell, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 411 Poplar Street, Marks, MS 38646 Phone: 662-326-9232 Fax: 662-326-8851 | |
Ms. Lea Ann Byrd, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1024 Martin Luther King Dr, Marks, MS 38646 Phone: 662-326-3500 | |
Lonnie L Moore, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1022 Martin Luther King Dr, Marks, MS 38646 Phone: 662-326-3500 Fax: 901-756-5564 | |
Mrs. Patsy Ann Thompson, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 Getwell St, Marks, MS 38646 Phone: 662-326-8031 Fax: 662-326-8560 |