Susan May Fortin, RN is a
Registered Nurse based in East Brookfield, Massachusetts. Susan May Fortin is licensed to practice in Massachusetts (license number RN211835) and her current practice location is
159 Flagg Rd, East Brookfield, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(508) 340-5787.
NPI number for Susan May Fortin is 1407465800 and her current mailing address is 159 Flagg Rd, East Brookfield, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1407465800.
Provider's Profile
Full Name | Susan May Fortin |
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Gender | Female |
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Speciality | Registered Nurse |
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Location | 159 Flagg Rd, East Brookfield, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1407465800
- Provider Enumeration Date: 07/31/2020
- Last Update Date: 07/31/2020
Medical Identifiers
Medical identifiers for Susan May Fortin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407465800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | RN211835 (Massachusetts) | 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. Susan May Fortin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Susan May Fortin, RN 159 Flagg Rd, East Brookfield, MA 01515-2116 Ph: () - | Susan May Fortin, RN 159 Flagg Rd, East Brookfield, MA 01515-2116 Ph: (508) 340-5787 |
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