Darryl L Fortson, M D in Las Vegas, NV - Medicare Family Medicine

Darryl L Fortson, M D is a medicare enrolled "Family Medicine" physician in Las Vegas, Nevada. His current practice location is 2704 N Tenaya Way, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 243-8500.

Darryl L Fortson is licensed to practice in Nevada (license number 15697) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1538255823.

Contact Information

	Darryl L Fortson, M D
	2704 N Tenaya Way, Las Vegas, NV 89128-0424
	(702) 243-8500
	(702) 363-8195

Map and Direction

Physician's Profile

Full Name	Darryl L Fortson
Gender	Male
Speciality	Family Medicine
Location	2704 N Tenaya Way, Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538255823
Provider Enumeration Date: 10/05/2006
Last Update Date: 01/17/2017

Medicare PECOS Information:

PECOS PAC ID: 4587615471
Enrollment ID: I20150330000417

Medical Identifiers

Medical identifiers for Darryl L Fortson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538255823	NPI	-	NPPES
200004090B	Medicaid	IN
V112580-V112581	Other	NV	PTAN
V113132	Other	NV	SMA MEDICARE
000000359839	Other	IN	ANTHEM, BC/BS PROVIDER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	01037803 (Indiana)	Secondary
207Q00000X	Family Medicine	01037803A (Indiana)	Secondary
207Q00000X	Family Medicine	15697 (Nevada)	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. Darryl L Fortson allows following entities to bill medicare on his behalf.

Entity Name	Southwest Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659346005 PECOS PAC ID: 6103730544 Enrollment ID: O20031118001102

Entity Name	Healthcare Partners Medical Group Coats Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487631917 PECOS PAC ID: 5991866303 Enrollment ID: O20100113000898

Entity Name	Metabolic Restoration Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457000192 PECOS PAC ID: 4284021627 Enrollment ID: O20220503001922

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. Darryl L Fortson 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
Darryl L Fortson, M D Po Box 15645, Las Vegas, NV 89114-5645 Ph: (702) 243-8500	Darryl L Fortson, M D 2704 N Tenaya Way, Las Vegas, NV 89128-0424 Ph: (702) 243-8500

Reviews and Comments

Family Medicine Doctors in Las Vegas, NV

Patricia May B. Lacsina, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2704 N Tenaya Way, Las Vegas, NV 89128 Phone: 702-877-5199
Nittu Singh, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113 Phone: 702-952-9171 Fax: 702-952-9170
Dr. Alan Michael Zeto Jr., MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 W Charleston Blvd, Las Vegas, NV 89102 Phone: 702-207-8263
Dr. Kevin Ray Buckwalter, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 7151 Cascade Valley Ct Ste 200, Las Vegas, NV 89128 Phone: 702-568-8450 Fax: 702-568-8451
Frederick J Lippmann, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 5785 Centennial Center Blvd Ste 230, Las Vegas, NV 89149 Phone: 702-383-2273 Fax: 702-366-0570
Dr. Constance Brown, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3675 Pecos Mcleod Ste 700, Las Vegas, NV 89121 Phone: 702-606-8737 Fax: 702-485-5212
Dr. Chad Robinson Black, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 3131 La Canada St Ste 200, Las Vegas, NV 89169 Phone: 702-369-5582 Fax: 702-369-8470

Darryl L Fortson, M D - Medicare Family Medicine in Las Vegas, NV