Dewitt Charles Fortenberry, MD - Medicare Internal Medicine in Texarkana, TX

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Dewitt Charles Fortenberry, MD is a medicare enrolled "General Practice" physician in Texarkana, Texas. He went to Johns Hopkins University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Internal Medicine. His current practice location is 2602 Saint Michael Dr, Suite 302, Texarkana, Texas. You can reach out to his office (for appointments etc.) via phone at (903) 336-2391.

Dewitt Charles Fortenberry is licensed to practice in Texas (license number L8691) 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 1114960473.

Contact Information

Dewitt Charles Fortenberry, MD
2602 Saint Michael Dr, Suite 302,
Texarkana, TX 75503-2387
(903) 336-2391
Not Available

Map and Direction




Physician's Profile

Full NameDewitt Charles Fortenberry
GenderMale
SpecialityInternal Medicine
Experience34 Years
Location2602 Saint Michael Dr, Texarkana, Texas
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dewitt Charles Fortenberry attended and graduated from Johns Hopkins University School Of Medicine in 1990
  NPI Data:
  • NPI Number: 1114960473
  • Provider Enumeration Date: 06/14/2006
  • Last Update Date: 09/17/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7315919925
  • Enrollment ID: I20040812000544

Medical Identifiers

Medical identifiers for Dewitt Charles Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114960473NPI-NPPES
167594401MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine L8691 (Texas)Secondary
208D00000XGeneral Practice L8691 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Christus Homecare - St MichaelTexarkana, TXHome health agency
Christus St Michael Health SystemTexarkana, TXHospital
Wadley Regional Medical CenterTexarkana, TXHospital
Christus Mother Frances HospitalTyler, TXHospital
The Villa At TexarkanaTexarkana, TXNursing home

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. Dewitt Charles Fortenberry allows following entities to bill medicare on his behalf.
Entity NameMedeval, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740548346
PECOS PAC ID: 9537319256
Enrollment ID: O20121015000495

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. Dewitt Charles 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 AddressPractice Location Address
Dewitt Charles Fortenberry, MD
116 Westlake Rd,
Texarkana, TX 75501-0006

Ph: (903) 293-7093		Dewitt Charles Fortenberry, MD
2602 Saint Michael Dr, Suite 302,
Texarkana, TX 75503-2387

Ph: (903) 336-2391

Reviews and Comments


General Practice Doctors in Texarkana, TX

Ronald David Rush, MD
General Practice
Medicare: Not Enrolled in Medicare
Practice Location: 5503 N Stateline Ave, Texarkana, TX 75503
Phone: 903-794-7874    Fax: 903-794-0740

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.