Tina Marie Fort, APRN, NP-C in Tahlequah, OK - Medicare Nurse Practitioner

Tina Marie Fort, APRN, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Tahlequah, Oklahoma. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Amc Medical Clinic I Llc and her current practice location is 1504 N Cedar Ave, Tahlequah, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 456-3456.

Tina Marie Fort is licensed to practice in Oklahoma (license number 83414) 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 1033763776.

Contact Information

	Tina Marie Fort, APRN, NP-C
	1504 N Cedar Ave, Tahlequah, OK 74464-6700
	(918) 456-3456
	(855) 860-5341

Map and Direction

Provider's Profile

Full Name	Tina Marie Fort
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1504 N Cedar Ave, Tahlequah, Oklahoma
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Tina Marie Fort graduated from nursing school in 2019

NPI Data:

NPI Number: 1033763776
Provider Enumeration Date: 07/31/2019
Last Update Date: 11/11/2020

Medicare PECOS Information:

PECOS PAC ID: 8921438581
Enrollment ID: I20200422001157

Medical Identifiers

Medical identifiers for Tina Marie Fort such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033763776	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	83414 (Oklahoma)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Northeastern Health System	Tahlequah, OK	Hospital
Saint Francis Hospital Muskogee	Muskogee, OK	Hospital
Mcalester Regional Health Center	Mcalester, OK	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Amc Medical Clinic I Llc	6901235563	6

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. Tina Marie Fort allows following entities to bill medicare on her behalf.

Entity Name	Amc Medical Clinic I Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295368587 PECOS PAC ID: 6901235563 Enrollment ID: O20200401003332

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. Tina Marie 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
Tina Marie Fort, APRN, NP-C 4196 Highway 62 412 Ste A, Hardy, AR 72542-8002 Ph: () -	Tina Marie Fort, APRN, NP-C 1504 N Cedar Ave, Tahlequah, OK 74464-6700 Ph: (918) 456-3456

Reviews and Comments

Nurse Practitioner Nurses in Tahlequah, OK

Nancy Ellen Denton, APRN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 401 E Downing St, Tahlequah, OK 74464 Phone: 918-316-6369
Kimberly Ann Watson, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19600 E Ross St, Tahlequah, OK 74464 Phone: 539-234-1000
Libby Leininger Rogers, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 529 N. Oak St, Tahlequah, OK 74464 Phone: 918-444-2126 Fax: 918-458-2300
Dena J Lamons, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 S Bliss Ave, Tahlequah, OK 74464 Phone: 918-458-3100
Tracy L Ross, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1387 W 4th St, Tahlequah, OK 74464 Phone: 918-453-5554 Fax: 918-431-4112
Florame Jamison, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1373 E Boone St Ste 1201, Tahlequah, OK 74464 Phone: 918-207-1189

Tina Marie Fort, APRN, NP-C - Medicare Nurse Practitioner in Tahlequah, OK