Ms Lateisha Nicole Fort, APN-FPA - Medicare Nurse Practitioner in Harvey, IL

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Ms Lateisha Nicole Fort, APN-FPA is a medicare enrolled "Nurse Practitioner - Acute Care" in Harvey, Illinois. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice The University Of Chicago and her current practice location is 1 Ingalls Dr, Harvey, Illinois. You can reach out to her office (for appointments etc.) via phone at (708) 596-3344.

Ms Lateisha Nicole Fort is licensed to practice in Illinois (license number 277002648) 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 1275024523.

Contact Information

Ms Lateisha Nicole Fort, APN-FPA
1 Ingalls Dr,
Harvey, IL 60426-3558
(708) 596-3344
(708) 596-3432

Map and Direction




Provider's Profile

Full NameMs Lateisha Nicole Fort
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location1 Ingalls Dr, Harvey, Illinois
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Ms Lateisha Nicole Fort graduated from nursing school in 2017
  NPI Data:
  • NPI Number: 1275024523
  • Provider Enumeration Date: 05/22/2018
  • Last Update Date: 11/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2466708102
  • Enrollment ID: I20180710003116

Medical Identifiers

Medical identifiers for Ms Lateisha Nicole Fort such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1275024523NPI-NPPES
921750533001MedicaidIL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 277002648 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ingalls Memorial HospitalHarvey, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
The University Of Chicago77198994261421

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 Lateisha Nicole Fort allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Chicago
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821048786
PECOS PAC ID: 7719899426
Enrollment ID: O20031103000094
Entity NameThe University Of Chicago Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033218128
PECOS PAC ID: 7618880766
Enrollment ID: O20031113000198
Entity NameFort Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841906047
PECOS PAC ID: 8224493176
Enrollment ID: O20230427001131

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 Lateisha Nicole 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 AddressPractice Location Address
Ms Lateisha Nicole Fort, APN-FPA
18241 West St Ste 209,
Lansing, IL 60438-3200

Ph: (800) 897-4575		Ms Lateisha Nicole Fort, APN-FPA
1 Ingalls Dr,
Harvey, IL 60426-3558

Ph: (708) 596-3344

Reviews and Comments


Nurse Practitioner Nurses in Harvey, IL

Miss Maira Ochoa, APN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 31 W 155th St, Harvey, IL 60426
Phone: 708-596-5177    Fax: 708-596-5518
Yvette M. Johnson, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 31 W. 155th Street, Harvey, IL 60426
Phone: 708-596-5177    Fax: 708-339-3583
Dominique K Craver, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Ingalls Dr, Harvey, IL 60426
Phone: 708-332-2300    
Reda Kubilius, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Ingalls Dr, Harvey, IL 60426
Phone: 708-915-9250    
Emily Tyl,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Ingalls Dr, Harvey, IL 60426
Phone: 855-826-3878    
Donna J. Calvin, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 31 W 155th St, Harvey, IL 60426
Phone: 708-596-5177    Fax: 708-596-5518
Shane Exner, PMHNP-BC
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1 Ingalls Dr, Harvey, IL 60426
Phone: 708-915-5441    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.