Kathleen Forti-gallant, FNP in Bangor, ME - Medicare Nurse Practitioner

Kathleen Forti-gallant, FNP is a medicare enrolled "Clinical Nurse Specialist - Medical-surgical" in Bangor, Maine. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eastern Maine Medical Center, Acadia Hospital Corp. and her current practice location is 925 Union St Ste 3, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 973-9980.

Kathleen Forti-gallant is licensed to practice in Maine (license number CNP81358) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1407876279.

Contact Information

	Kathleen Forti-gallant, FNP
	925 Union St Ste 3, Bangor, ME 04401-3051
	(207) 973-9980
	(207) 973-7515

Map and Direction

Provider's Profile

Full Name	Kathleen Forti-gallant
Gender	Female
Speciality	Nurse Practitioner
Experience	26 Years
Location	925 Union St Ste 3, Bangor, Maine
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen Forti-gallant graduated from nursing school in 1998

NPI Data:

NPI Number: 1407876279
Provider Enumeration Date: 07/21/2006
Last Update Date: 04/06/2020

Medicare PECOS Information:

PECOS PAC ID: 7810918752
Enrollment ID: I20051207000813

Medical Identifiers

Medical identifiers for Kathleen Forti-gallant such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1407876279	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
364SM0705X	Clinical Nurse Specialist - Medical-surgical	CNP81358 (Maine)	Primary
364SM0705X	Clinical Nurse Specialist - Medical-surgical	R028705 (Maine)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Eastern Maine Medical Center	Bangor, ME	Hospital
Sebasticook Valley Health	Pittsfield, ME	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Eastern Maine Medical Center	2062315161	588
Acadia Hospital Corp.	7719878495	85

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. Kathleen Forti-gallant allows following entities to bill medicare on her behalf.

Entity Name	Eastern Maine Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790789147 PECOS PAC ID: 2062315161 Enrollment ID: O20040128000088

Entity Name	Acadia Hospital Corp.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215940523 PECOS PAC ID: 7719878495 Enrollment ID: O20040323000136

Entity Name	Sebasticook Valley Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457461477 PECOS PAC ID: 3476462797 Enrollment ID: O20040513001197

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. Kathleen Forti-gallant 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
Kathleen Forti-gallant, FNP 43 Whiting Hill Rd Ste 300, Brewer, ME 04412-1006 Ph: (207) 973-5035	Kathleen Forti-gallant, FNP 925 Union St Ste 3, Bangor, ME 04401-3051 Ph: (207) 973-9980

Reviews and Comments

Clinical Nurse Specialist Nurses in Bangor, ME

Jennie S. Dubosky, MS, A.P.R.N.,CNS-BC Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1068 Union St, Bangor, ME 04401 Phone: 207-947-0147 Fax: 207-990-3365
Pamela S Miller, PMH NP Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401 Phone: 207-973-6100 Fax: 207-973-6109
Bridget Larson, APRN CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401 Phone: 207-973-6100 Fax: 207-973-6109
Elizabeth R Pelissier, APRN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1012 Union St, Bangor, ME 04401 Phone: 207-945-5247 Fax: 207-990-1248
Deidre P Tukey, MSN Clinical Nurse Specialist Medicare: Medicare Enrolled Practice Location: 1012 Union St, Bangor, ME 04401 Phone: 207-945-5247 Fax: 207-990-1248

Kathleen Forti-gallant, FNP - Medicare Nurse Practitioner in Bangor, ME