Dr Courtney B Fahnhorst Vidrine, MD - Medicare Family Practice in Saint Johns, FL

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Dr Courtney B Fahnhorst Vidrine, MD is a medicare enrolled "Family Medicine" physician in Saint Johns, Florida. She went to Saint Louis University School Of Medicine and graduated in 2011 and has 15 years of diverse experience with area of expertise as Family Practice. Her current practice location is 205 Trinity Way, Saint Johns, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 410-6040.

Dr Courtney B Fahnhorst Vidrine is licensed to practice in Georgia (license number 85566) 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 1245526466.

Contact Information

Dr Courtney B Fahnhorst Vidrine, MD
205 Trinity Way,
Saint Johns, FL 32259-1155
(904) 410-6040
Not Available

Map and Direction




Physician's Profile

Full NameDr Courtney B Fahnhorst Vidrine
GenderFemale
SpecialityFamily Practice
Experience15 Years
Location205 Trinity Way, Saint Johns, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Courtney B Fahnhorst Vidrine attended and graduated from Saint Louis University School Of Medicine in 2011
  NPI Data:
  • NPI Number: 1245526466
  • Provider Enumeration Date: 06/27/2011
  • Last Update Date: 10/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0143449124
  • Enrollment ID: I20241205004268

Medical Identifiers

Medical identifiers for Dr Courtney B Fahnhorst Vidrine such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245526466NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2083P0011XPreventive Medicine - Undersea And Hyperbaric Medicine ME118350 (Florida)Secondary
207Q00000XFamily Medicine 85566 (Georgia)Primary
207Q00000XFamily Medicine ME118350 (Florida)Secondary
207PE0005XEmergency Medicine - Undersea And Hyperbaric Medicine ME118350 (Florida)Secondary
208M00000XHospitalist ME118350 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Memorial University Medical CenterSavannah, GAHospital

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 Courtney B Fahnhorst Vidrine allows following entities to bill medicare on her behalf.
Entity NamePhysicians Unity
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679878268
PECOS PAC ID: 6406014919
Enrollment ID: O20160322000911

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 Courtney B Fahnhorst Vidrine 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 AddressPractice Location Address
Dr Courtney B Fahnhorst Vidrine, MD
101 Marketside Ave Ste 404,
Ponte Vedra, FL 32081-1542

Ph: (904) 410-6040		Dr Courtney B Fahnhorst Vidrine, MD
205 Trinity Way,
Saint Johns, FL 32259-1155

Ph: (904) 410-6040

Reviews and Comments


Family Medicine Doctors in Saint Johns, FL

Dr. Matthew Ryan Deboer, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259
Phone: 904-824-4407    Fax: 904-390-7459
Olivia Michelle Bullock, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259
Phone: 904-824-4407    Fax: 904-390-7459
Dr. Ana Maria Romero, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1310 County Road 210 W, Saint Johns, FL 32259
Phone: 904-824-4407    Fax: 904-390-7459
Tristan A Imhof, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2570 Race Track Road, Suite A, Saint Johns, FL 32259
Phone: 904-819-1005    Fax: 904-819-1002

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.