Tracey M Fortner, FNP-BC | |
1103 Mason Lee Ave, Loganville, GA 30052-8635 | |
(678) 315-7151 | |
Not Available |
Full Name | Tracey M Fortner |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 6 Years |
Location | 1103 Mason Lee Ave, Loganville, Georgia |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487122065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN164997 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Southern Nh Medical Center | Nashua, NH | Hospital |
St Joseph Hospital | Nashua, NH | Hospital |
Elliot Hospital | Manchester, NH | Hospital |
Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Foundation Medical Partners Inc | 9436140456 | 285 |
Entity Name | Foundation Medical Partners Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033162037 PECOS PAC ID: 9436140456 Enrollment ID: O20040519001048 |
Mailing Address | Practice Location Address |
---|---|
Tracey M Fortner, FNP-BC 1103 Mason Lee Ave, Loganville, GA 30052-8635 Ph: (678) 315-7151 | Tracey M Fortner, FNP-BC 1103 Mason Lee Ave, Loganville, GA 30052-8635 Ph: (678) 315-7151 |
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