Savannah Fortenberry, APRN, FNP-C in Lake Providence, LA

Savannah Fortenberry, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Lake Providence, Louisiana. Her current practice location is 340 N Hood St, Lake Providence, Louisiana. You can reach out to her office (for appointments etc.) via phone at (318) 559-2404.

Savannah Fortenberry is licensed to practice in Louisiana (license number 205753) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1427732783.

Contact Information

	Savannah Fortenberry, APRN, FNP-C
	340 N Hood St, Lake Providence, LA 71254-2140
	(318) 559-2404
	Not Available

Map and Direction

Provider's Profile

Full Name	Savannah Fortenberry
Gender	Female
Speciality	Nurse Practitioner - Family
Location	340 N Hood St, Lake Providence, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427732783
Provider Enumeration Date: 06/14/2023
Last Update Date: 06/14/2023

Medicare PECOS Information:

PECOS PAC ID: 7012365323
Enrollment ID: I20231128000589

Medical Identifiers

Medical identifiers for Savannah Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427732783	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	205753 (Louisiana)	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. Savannah Fortenberry allows following entities to bill medicare on her behalf.

Entity Name	East Carroll Parish Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982695441 PECOS PAC ID: 1153216619 Enrollment ID: O20040216000563

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. Savannah Fortenberry 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
Savannah Fortenberry, APRN, FNP-C 340 N Hood St, Lake Providence, LA 71254-2140 Ph: (318) 559-2404	Savannah Fortenberry, APRN, FNP-C 340 N Hood St, Lake Providence, LA 71254-2140 Ph: (318) 559-2404

Reviews and Comments

Nurse Practitioner Nurses in Lake Providence, LA

Carla C Costello, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 320 N Hood St, Lake Providence, LA 71254 Phone: 318-559-2404
Kelly Catherine Ratliff, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 Scarborough St, Lake Providence, LA 71254 Phone: 318-559-2814
Stacey Hackler, APRN, FNP-C Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 320 N Hood St, Lake Providence, LA 71254 Phone: 318-559-2404
Ms. Brenda R. Miller, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 326 N Hood St, Lake Providence, LA 71254 Phone: 318-559-4900 Fax: 318-559-1772
Amy Garrett Hale, RN,FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 300 Scarborough St, Lake Providence, LA 71254 Phone: 318-559-2814

Savannah Fortenberry, APRN, FNP-C - Medicare Nurse Practitioner in Lake Providence, LA