Dr George Ma Fortier Iv, MD in Randall, MN

Dr George Ma Fortier Iv, MD is a medicare enrolled "Surgery" physician in Randall, Minnesota. He went to Medical College Of Wisconsin and graduated in 1984 and has 40 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Community Hospital and his current practice location is 9264 Highway 115, Randall, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 749-2607.

Dr George Ma Fortier Iv is licensed to practice in Minnesota (license number 34195) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1942287347.

Contact Information

	Dr George Ma Fortier Iv, MD
	9264 Highway 115, Randall, MN 56475-2501
	(320) 749-2607
	(320) 749-8301

Map and Direction

Physician's Profile

Full Name	Dr George Ma Fortier Iv
Gender	Male
Speciality	General Surgery
Experience	40 Years
Location	9264 Highway 115, Randall, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr George Ma Fortier Iv attended and graduated from Medical College Of Wisconsin in 1984

NPI Data:

NPI Number: 1942287347
Provider Enumeration Date: 12/27/2005
Last Update Date: 10/26/2007

Medicare PECOS Information:

PECOS PAC ID: 4880507946
Enrollment ID: I20140217001085

Medical Identifiers

Medical identifiers for Dr George Ma Fortier Iv such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942287347	NPI	-	NPPES
1727990	Other	MN	MEDICA
61340	Other	MN	HEALTH PARTNERS
20042231	Other	MN	RAILROAD MEDICARE
08D3540	Other	MN	BLUE CROSS BLUE SHIELD MN
407262600	Medicaid	MN
1006228	Other	MN	PREFERRED ONE
1220399	Other	MN	UCARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	34195 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Community Hospital	Torrington, WY	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Community Hospital	6608784194	26

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. Dr George Ma Fortier Iv allows following entities to bill medicare on his behalf.

Entity Name	Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669410643 PECOS PAC ID: 6608784194 Enrollment ID: O20040127001124

Entity Name	Banner Health Physicians West Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063778728 PECOS PAC ID: 5092978866 Enrollment ID: O20120607000123

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. Dr George Ma Fortier Iv 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
Dr George Ma Fortier Iv, MD 9264 Highway 115, P O Box 154, Randall, MN 56475-2501 Ph: (320) 749-2607	Dr George Ma Fortier Iv, MD 9264 Highway 115, Randall, MN 56475-2501 Ph: (320) 749-2607

Dr George Ma Fortier Iv, MD - Medicare General Surgery in Randall, MN