Lori D Fortner, APRN | |
320 Luzerne St, Mount Ida, AR 71957-9437 | |
(870) 867-2175 | |
(870) 867-4050 |
Full Name | Lori D Fortner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 13 Years |
Location | 320 Luzerne St, Mount Ida, Arkansas |
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 |
---|---|---|---|
1982978532 | NPI | - | NPPES |
190992758 | Medicaid | AR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | A03657 (Arkansas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mena Family Health Center | 3971629155 | 5 |
Mena Hospital Commission | 8527057678 | 12 |
Entity Name | Mena Hospital Commission |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285739581 PECOS PAC ID: 8527057678 Enrollment ID: O20040512000557 |
Entity Name | Mena Family Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447571047 PECOS PAC ID: 3971629155 Enrollment ID: O20100924000616 |
Entity Name | Walk In Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699096297 PECOS PAC ID: 8022134261 Enrollment ID: O20100925000017 |
Mailing Address | Practice Location Address |
---|---|
Lori D Fortner, APRN Po Box 21850, Hot Springs, AR 71903-1850 Ph: (870) 867-2175 | Lori D Fortner, APRN 320 Luzerne St, Mount Ida, AR 71957-9437 Ph: (870) 867-2175 |
Heather N Funderburk, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 320 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-2175 Fax: 870-867-4050 | |
Stacie L Hipp, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 320 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-2175 | |
Samantha Jo Stovall, APRN, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 534 Luzerne St, Mount Ida, AR 71957 Phone: 888-710-8220 Fax: 866-573-0761 | |
Amy Stvartak, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 534 Luzerne St, Mount Ida, AR 71957 Phone: 870-867-4244 |