Susan Grimes Fortner, is a
Counselor - Mental Health based in Baxter, Tennessee. Susan Grimes Fortner is licensed to practice in Tennessee (license number 5175) and her current practice location is
214 Main St, Baxter, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(931) 588-0475.
NPI number for Susan Grimes Fortner is 1275241572 and her current mailing address is 214 Dyer Grimes Rd, Cookeville, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275241572.
Healthcare Provider's Profile
Full Name | Susan Grimes Fortner |
---|
Gender | Female |
---|
Speciality | Counselor - Mental Health |
---|
Location | 214 Main St, Baxter, Tennessee |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275241572
- Provider Enumeration Date: 11/07/2022
- Last Update Date: 11/07/2022
Medical Identifiers
Medical identifiers for Susan Grimes Fortner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275241572 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 5175 (Tennessee) | 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 Grimes Fortner 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 Grimes Fortner, 214 Dyer Grimes Rd, Cookeville, TN 38501-4399 Ph: (931) 783-1113 | Susan Grimes Fortner, 214 Main St, Baxter, TN 38544-5280 Ph: (931) 588-0475 |
Reviews and Comments