Genia Marie Fortune, APRNCNP is a medicare enrolled "Nurse Practitioner - Adult Health" in Shreve, Ohio. Her current practice location is
126 W Mcconkey St, Shreve, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 789-1099.
Genia Marie Fortune is licensed to practice in Ohio (license number APRN.CNP.022885) 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 1457845844.
Provider's Profile
Full Name | Genia Marie Fortune |
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Gender | Female |
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Speciality | Nurse Practitioner - Adult Health |
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Location | 126 W Mcconkey St, Shreve, Ohio |
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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: 1457845844
- Provider Enumeration Date: 06/19/2018
- Last Update Date: 06/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 5890046262
- Enrollment ID: I20180924002962
Medical Identifiers
Medical identifiers for Genia Marie Fortune such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457845844 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LA2200X | Nurse Practitioner - Adult Health | APRN.CNP.022885 (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. Genia Marie Fortune allows following entities to bill medicare on her behalf.
Entity Name | Northeast Surgical Wound Care Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649215583 PECOS PAC ID: 7416948153 Enrollment ID: O20040520001174 |
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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. Genia Marie 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 |
Genia Marie Fortune, APRNCNP Po Box 526, Shreve, OH 44676-0526 Ph: (330) 789-1099 | Genia Marie Fortune, APRNCNP 126 W Mcconkey St, Shreve, OH 44676-9301 Ph: (330) 789-1099 |
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