Michael Scott Fortner, CRNA | |
1601 New Castle Rd, Forrest City, AR 72335-2218 | |
(870) 261-0513 | |
(901) 261-2542 |
Full Name | Michael Scott Fortner |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 25 Years |
Location | 1601 New Castle Rd, Forrest City, Arkansas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871595512 | NPI | - | NPPES |
1871595512 | Other | AR | WELLCARE - MEDICARE |
196069001 | Medicaid | AR | |
1871595512 | Other | AR | UNITED HEALTHCARE |
4245152 | Other | TN | BLUE CROSS BLUE SHIELD TENNESSEE |
1871595512 | Other | AR | TRICARE - SOUTH REGION |
1871595512 | Other | AR | BAPTIST HEALTH SERVICES GROUP, INC. |
1871595512 | Other | AR | QUALCHOICE OF ARKANSAS |
1871595512 | Other | AR | ARKANSAS BLUE CROSS BLUE SHIELD |
P00820226 | Other | TN | RR MEDICARE-PALMETTO GBA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163W00000X | Registered Nurse | R105201 (Arkansas) | Secondary |
367500000X | Nurse Anesthetist, Certified Registered | C002946 (Arkansas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Hazard Arh Regional Medical Center | Hazard, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Triangle Anesthesia Group, Psc | 9436161585 | 61 |
Entity Name | Triangle Anesthesia Group, Psc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124079314 PECOS PAC ID: 9436161585 Enrollment ID: O20060608000180 |
Mailing Address | Practice Location Address |
---|---|
Michael Scott Fortner, CRNA Po Box 771522, Memphis, TN 38177-1522 Ph: (901) 249-7668 | Michael Scott Fortner, CRNA 1601 New Castle Rd, Forrest City, AR 72335-2218 Ph: (870) 261-0513 |
Mr. Samuel Lance Ogle, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 New Castle Rd, Forrest City, AR 72335 Phone: 870-261-0513 Fax: 870-261-0535 | |
Ms. Irma N Jenkins, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1601 New Castle Rd, Forrest City, AR 72335 Phone: 870-261-0513 Fax: 870-261-0126 | |
Ramona Anquenette Anderson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 New Castle Rd, Forrest City, AR 72335 Phone: 870-261-0513 Fax: 901-261-2542 | |
Mrs. Jennifer S Morris, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 New Castle Rd, Forrest City, AR 72335 Phone: 870-261-0513 Fax: 870-261-0535 | |
Mr. Billy Don Sanders, C.R.N.A. , M.S.N. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1601 Newcastle Road, Forrest City, AR 72335 Phone: 870-261-0000 Fax: 870-261-0405 |