Dr Jairo Alfredo Fortich, MD - Medicare Family Medicine in Knoxville, TN

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Dr Jairo Alfredo Fortich, MD is a medicare enrolled "Family Medicine" physician in Knoxville, Tennessee. His current practice location is 140 Market Place Blvd Ste E, Knoxville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (865) 212-2211.

Dr Jairo Alfredo Fortich is licensed to practice in Tennessee (license number 40307) 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 1104867381.

Contact Information

Dr Jairo Alfredo Fortich, MD
140 Market Place Blvd Ste E,
Knoxville, TN 37922-2337
(865) 212-2211
(833) 314-0589

Map and Direction




Physician's Profile

Full NameDr Jairo Alfredo Fortich
GenderMale
SpecialityFamily Medicine
Location140 Market Place Blvd Ste E, Knoxville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1104867381
  • Provider Enumeration Date: 06/09/2006
  • Last Update Date: 09/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9638100282
  • Enrollment ID: I20060413000624

Medical Identifiers

Medical identifiers for Dr Jairo Alfredo Fortich such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104867381NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 40307 (Tennessee)Secondary
207Q00000XFamily Medicine 40307 (Tennessee)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. Dr Jairo Alfredo Fortich allows following entities to bill medicare on his behalf.
Entity NameSoutheastern Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356379382
PECOS PAC ID: 2466364997
Enrollment ID: O20050125000997
Entity NameEmergency Coverage Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427005008
PECOS PAC ID: 3072412592
Enrollment ID: O20050207000666
Entity NameMetro Family Care, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659716934
PECOS PAC ID: 2668607680
Enrollment ID: O20131029001636
Entity NameApp Of Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003230236
PECOS PAC ID: 8123251766
Enrollment ID: O20140506000159
Entity NameApp Of Tennessee Hm, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088
Entity NameApp Of East Tennessee Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326695537
PECOS PAC ID: 6800127796
Enrollment ID: O20191007003318

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 Jairo Alfredo Fortich 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 Jairo Alfredo Fortich, MD
140 Market Place Blvd Ste E,
Knoxville, TN 37922-2337

Ph: (865) 212-2211		Dr Jairo Alfredo Fortich, MD
140 Market Place Blvd Ste E,
Knoxville, TN 37922-2337

Ph: (865) 212-2211

Reviews and Comments


Family Medicine Doctors in Knoxville, TN

Brooklyn Creech,
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Practice Location: 10918 Kingston Pike, Knoxville, TN 37934
Phone: 606-269-8209    
Dr. Dennis R. King, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 11416 Grigsby Chapel Rd Ste 102, Knoxville, TN 37934
Phone: 865-392-1717    Fax: 865-392-1719
Jonathan Andrew Towe,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 7326 Maynardville Pike Ste 400, Knoxville, TN 37938
Phone: 865-925-9035    Fax: 865-925-9045
James Stacy Hicks, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Old Weisgarber Rd, Knoxville, TN 37909
Phone: 865-584-2146    Fax: 865-584-9660
Dr. Priya Raghavan, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 3336 South Cir, Knoxville, TN 37920
Phone: 865-577-0320    Fax: 865-573-9544
Lance Morehead, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 9303 Park West Blvd, Ste 100, Knoxville, TN 37923
Phone: 865-690-6451    
Dr. Chang Wen Chen, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 10430 Lovell Center Dr, Knoxville, TN 37922
Phone: 865-693-6882    Fax: 865-693-2909

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.