Ms Michelle Marie Fortney, APRN, PMHCNS is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Bismarck, North Dakota. She graduated from nursing school in 2005 and has 19 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Chambers And Blohm Psychological, Krumm And Co Pllc and her current practice location is
309 N Mandan St, Ste 1, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 323-0924.
Ms Michelle Marie Fortney is licensed to practice in North Dakota (license number R25856) 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 1174858468.
Provider's Profile
| Full Name | Ms Michelle Marie Fortney |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 19 Years |
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| Location | 309 N Mandan St, Ste 1, Bismarck, North Dakota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Michelle Marie Fortney graduated from nursing school in 2005
NPI Data:
- NPI Number: 1174858468
- Provider Enumeration Date: 10/05/2009
- Last Update Date: 11/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 4385783554
- Enrollment ID: I20091201000260
Medical Identifiers
Medical identifiers for Ms Michelle Marie Fortney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174858468 | NPI | - | NPPES |
| 1450545 | Medicaid | ND | |
| R25856 | Other | ND | LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | R25856 (North Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Chambers And Blohm Psychological | 1456248004 | 4 |
| Krumm And Co Pllc | 1759726037 | 4 |
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. Ms Michelle Marie Fortney allows following entities to bill medicare on her behalf.
| Entity Name | Chambers & Blohm Psychological |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114045465
PECOS PAC ID: 1456248004
Enrollment ID: O20040301000177 |
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| Entity Name | Krumm & Co Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568239903
PECOS PAC ID: 1759726037
Enrollment ID: O20240226003903 |
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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. Ms Michelle Marie Fortney 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 |
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Ms Michelle Marie Fortney, APRN, PMHCNS
309 N. Mandan St, Ste. 1,
Bismarck, ND 58501-3886
Ph: (701) 323-0924 | Ms Michelle Marie Fortney, APRN, PMHCNS
309 N Mandan St, Ste 1,
Bismarck, ND 58501-3886
Ph: (701) 323-0924 |
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