Mr Daniel Wilson Fortin, RN in Providence, RI - Medicare Nurse Anesthetist, Certified Registered

Mr Daniel Wilson Fortin, RN is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Providence, Rhode Island. His current practice location is 593 Eddy St, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 444-4000.

Mr Daniel Wilson Fortin is licensed to practice in Massachusetts (license number RN2322992) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1801469952.

Contact Information

	Mr Daniel Wilson Fortin, RN
	593 Eddy St, Providence, RI 02903-4923
	(401) 444-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Daniel Wilson Fortin
Gender	Male
Speciality	Nurse Anesthetist, Certified Registered
Location	593 Eddy St, Providence, Rhode Island
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1801469952
Provider Enumeration Date: 07/16/2021
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 6709268907
Enrollment ID: I20220804002478

Medical Identifiers

Medical identifiers for Mr Daniel Wilson Fortin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1801469952	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WC0200X	Registered Nurse - Critical Care Medicine	RN46711 (Rhode Island)	Secondary
367500000X	Nurse Anesthetist, Certified Registered	RN2322992 (Massachusetts)	Primary

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. Mr Daniel Wilson Fortin allows following entities to bill medicare on his behalf.

Entity Name	Lawrence Anesthesia Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467699918 PECOS PAC ID: 4082770136 Enrollment ID: O20090225000707

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. Mr Daniel Wilson Fortin 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
Mr Daniel Wilson Fortin, RN 25 Borden St, Riverside, RI 02915-5672 Ph: () -	Mr Daniel Wilson Fortin, RN 593 Eddy St, Providence, RI 02903-4923 Ph: (401) 444-4000

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Providence, RI

Brian F Girard, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Peter W Wolferseder, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Marie A Mills, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Beth Vanpraag, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Paulette Champion, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy St, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Angela Thomas, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 593 Eddy Street, Davol 129, Providence, RI 02903 Phone: 401-444-4933 Fax: 401-444-5090
Garrick Mark Whitlock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 825 Chalkstone Ave, Providence, RI 02908 Phone: 401-456-2000

Mr Daniel Wilson Fortin, RN - Medicare Nurse Anesthetist, Certified Registered in Providence, RI