Philomene Fortes, - Medicare Nurse Practitioner in Pawtucket, RI

Philomene Fortes, is a medicare enrolled "Nurse Practitioner - Family" in Pawtucket, Rhode Island. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Blackstone Valley Community Health Care Inc, Blackstone Valley Community Health Care Inc and her current practice location is 39 East Ave, Pawtucket, Rhode Island. You can reach out to her office (for appointments etc.) via phone at (401) 722-0081.

Philomene Fortes is licensed to practice in Rhode Island (license number APRN01560) 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 1235568171.

Contact Information

Philomene Fortes,
39 East Ave,
Pawtucket, RI 02860-4003
(401) 722-0081
(401) 312-0318

Map and Direction




Provider's Profile

Full NamePhilomene Fortes
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location39 East Ave, Pawtucket, Rhode Island
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:
  • Philomene Fortes graduated from nursing school in 2013
  NPI Data:
  • NPI Number: 1235568171
  • Provider Enumeration Date: 11/01/2013
  • Last Update Date: 09/30/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 8426368978
  • Enrollment ID: I20151112001591

Medical Identifiers

Medical identifiers for Philomene Fortes such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235568171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family APRN01560 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Blackstone Valley Community Health Care Inc862804576223
Blackstone Valley Community Health Care Inc862804576223

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. Philomene Fortes allows following entities to bill medicare on her behalf.
Entity NameKaiser Foundation Health Plan Of The Mid-atlantic States, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952461816
PECOS PAC ID: 3779495858
Enrollment ID: O20040105000308

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. Philomene Fortes 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
Philomene Fortes,
4404 Queensbury Rd,
Riverdale, MD 20737-1068

Ph: () -
Philomene Fortes,
39 East Ave,
Pawtucket, RI 02860-4003

Ph: (401) 722-0081

Reviews and Comments


Nurse Practitioner Nurses in Pawtucket, RI

Daijsia Melena Bubb,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 39 East Ave, Pawtucket, RI 02860
Phone: 401-729-0080    
Stacey Almeida, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 727 East Ave, Pawtucket, RI 02860
Phone: 401-725-6160    Fax: 401-722-5430
Mrs. Brandi Parker Cotton, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 160 Beechwood Ave, Pawtucket, RI 02860
Phone: 401-722-5573    Fax: 401-726-5571
Mrs. Carol A Garcia-benoit, RNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 727 East Ave, Suite 100, Pawtucket, RI 02860
Phone: 401-725-6160    Fax: 401-722-5430
Mellissa Gosset, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 333 School St # 112, Pawtucket, RI 02860
Phone: 401-726-9790    
Alicia Marie Barcelo, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 67 Bucklin St, Pawtucket, RI 02861
Phone: 978-473-6667    

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.