Jorge E Fornes, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Fort Defiance, AZ

  1. Home
  2. Nurse Anesthetist - CR
  3. AZ
  4. Fort Defiance
Jorge E Fornes, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Fort Defiance, Arizona. He graduated from nursing school in 2000 and has 24 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Anesthesia Physician Solutions Of North Florida Llc and his current practice location is Corner Of Route N12 And N7, Fort Defiance, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 729-8000.

Jorge E Fornes is licensed to practice in Florida (license number ARNP1495112) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1619998762.

Contact Information

Jorge E Fornes, CRNA
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504
(928) 729-8000
Not Available

Map and Direction




Provider's Profile

Full NameJorge E Fornes
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience24 Years
LocationCorner Of Route N12 And N7, Fort Defiance, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Jorge E Fornes graduated from nursing school in 2000
  NPI Data:
  • NPI Number: 1619998762
  • Provider Enumeration Date: 07/22/2006
  • Last Update Date: 05/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1557435906
  • Enrollment ID: I20080801000468

Medical Identifiers

Medical identifiers for Jorge E Fornes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619998762NPI-NPPES
3036502 00MedicaidFL
G2860OtherFLBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered ARNP1495112 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Osceola Regional Medical CenterKissimmee, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Anesthesia Physician Solutions Of North Florida Llc5597066001248

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. Jorge E Fornes allows following entities to bill medicare on his behalf.
Entity NameGulf-to-bay Anesthesiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720039746
PECOS PAC ID: 5092628156
Enrollment ID: O20031106000250
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355
Entity NameAnesthesia Physician Solutions Of North Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164932901
PECOS PAC ID: 5597066001
Enrollment ID: O20151228002033
Entity NameAnesthesia Dynamics Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073001012
PECOS PAC ID: 3779832530
Enrollment ID: O20190820001117
Entity NameOrange County Anesthesia Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003434762
PECOS PAC ID: 3274957998
Enrollment ID: O20200728000279

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. Jorge E Fornes 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 AddressPractice Location Address
Jorge E Fornes, CRNA
Po Box 3181,
Fort Defiance, AZ 86504-3181

Ph: (928) 729-8000		Jorge E Fornes, CRNA
Corner Of Route N12 And N7,
Fort Defiance, AZ 86504

Ph: (928) 729-8000

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Fort Defiance, AZ

William Reno, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Fort Defiance Indian Hospital, Corner Or Rt N12 & N7, Fort Defiance, AZ 86504
Phone: 928-729-8741    
Kevin A Lewellen, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Peter Joseph Marinich, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of N7 And N12, Fort Defiance, AZ 86504
Phone: 928-729-8749    
Joseph Scot Denhalter, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Viji Roberts, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 928-729-8000    
Gregory P Lewandowski, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504
Phone: 505-662-9256    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.