Mr Thomas O Fort, PA is a medicare enrolled "Physician Assistant - Medical" in Andrews, South Carolina. His current practice location is
701 S Morgan Ave, Andrews, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 264-5253.
Mr Thomas O Fort is licensed to practice in South Carolina (license number 780) 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 1144207382.
Provider's Profile
Full Name | Mr Thomas O Fort |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 701 S Morgan Ave, Andrews, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1144207382
- Provider Enumeration Date: 12/29/2005
- Last Update Date: 06/16/2018
Medicare PECOS Information:
- PECOS PAC ID: 0244493039
- Enrollment ID: I20120514000677
Medical Identifiers
Medical identifiers for Mr Thomas O Fort such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144207382 | NPI | - | NPPES |
RHC068 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | 780 (South Carolina) | Primary |
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 Thomas O Fort 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 Thomas O Fort, PA Po Box 1209, Murrells Inlet, SC 29576-1209 Ph: (843) 652-8220 | Mr Thomas O Fort, PA 701 S Morgan Ave, Andrews, SC 29510-2959 Ph: (843) 264-5253 |
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