Amanda F Fortenberry, OT in Ridgeland, MS - Medicare Occupational Therapist Provider

Amanda F Fortenberry, OT is a medicare enrolled "Occupational Therapist" provider in Ridgeland, Mississippi. Her current practice location is 711 Avignon Dr, Ridgeland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 605-6777.

Amanda F Fortenberry is licensed to practice in Mississippi (license number OT2345) 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 1891028130.

Contact Information

	Amanda F Fortenberry, OT
	711 Avignon Dr, Ridgeland, MS 39157-5120
	(601) 605-6777
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amanda F Fortenberry
Gender	Female
Speciality	Occupational Therapist
Location	711 Avignon Dr, Ridgeland, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891028130
Provider Enumeration Date: 09/17/2009
Last Update Date: 09/17/2009

Medicare PECOS Information:

PECOS PAC ID: 2264893007
Enrollment ID: I20230726003722

Medical Identifiers

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

Identifier	Type	State	Issuer
1891028130	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT2345 (Mississippi)	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. Amanda F Fortenberry allows following entities to bill medicare on her behalf.

Provider Name	Fox Rehab Agency Ms Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1336839000 PECOS PAC ID: 2769841782 Enrollment ID: O20230707002981

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. Amanda F 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
Amanda F Fortenberry, OT 711 Avignon Dr, Ridgeland, MS 39157-5120 Ph: (601) 605-6777	Amanda F Fortenberry, OT 711 Avignon Dr, Ridgeland, MS 39157-5120 Ph: (601) 605-6777

Reviews and Comments

Occupational Therapist in Ridgeland, MS

Alicia Windham, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 711 Avignon Dr, Ridgeland, MS 39157 Phone: 601-605-6777 Fax: 601-607-1392
Mary Spencer, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 207 W Jackson St, Ridgeland, MS 39157 Phone: 601-427-5703
Daniel M. Sowers, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 114 Timbercrest Dr, Ridgeland, MS 39157 Phone: 601-201-7706
Mrs. Tarah Aurelia Mannery, OTR/L, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 731 Avignon Dr Ste 4, Ridgeland, MS 39157 Phone: 601-300-2624 Fax: 601-510-3512
Robin S Mccaffery, OTR/L, BCP Occupational Therapist Medicare: Medicare Enrolled Practice Location: 950 E County Line Rd Ste E, Ridgeland, MS 39157 Phone: 601-853-9747 Fax: 601-898-4761
Trenise Saverin Reed, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 950 E County Line Rd, Suite E, Ridgeland, MS 39157 Phone: 601-853-8747 Fax: 601-898-4761
Margaret Edwards, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 950 E County Line Rd, Suite E, Ridgeland, MS 39157 Phone: 601-853-9747 Fax: 601-898-4761

Amanda F Fortenberry, OT - Medicare Occupational Therapist in Ridgeland, MS