Geoffrey Mark Fortner, MD - Medicare Psychiatry & Neurology in Indianapolis, IN

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Geoffrey Mark Fortner, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Indianapolis, Indiana. His current practice location is 7165 Clearvista Way, Indianapolis, Indiana. You can reach out to his office (for appointments etc.) via phone at (317) 621-5100.

Geoffrey Mark Fortner is licensed to practice in Indiana (license number 01056568A) 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 1669569059.

Contact Information

Geoffrey Mark Fortner, MD
7165 Clearvista Way,
Indianapolis, IN 46256
(317) 621-5100
Not Available

Map and Direction




Physician's Profile

Full NameGeoffrey Mark Fortner
GenderMale
SpecialityPsychiatry & Neurology - Neurology
Location7165 Clearvista Way, Indianapolis, Indiana
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669569059
  • Provider Enumeration Date: 10/06/2006
  • Last Update Date: 11/27/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 1658334909
  • Enrollment ID: I20041108000538

Medical Identifiers

Medical identifiers for Geoffrey Mark Fortner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669569059NPI-NPPES
200505110MedicaidIN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084N0400XPsychiatry & Neurology - Neurology 01056568A (Indiana)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. Geoffrey Mark Fortner allows following entities to bill medicare on his behalf.
Entity NameCommunity Health Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336119478
PECOS PAC ID: 1850203977
Enrollment ID: O20031105000554
Entity NameFairbanks Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619072493
PECOS PAC ID: 8123006525
Enrollment ID: O20040712001107
Entity NameCommunity Howard Regional Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881947133
PECOS PAC ID: 5890769988
Enrollment ID: O20040824000916
Entity NameAspire Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124016050
PECOS PAC ID: 4486635455
Enrollment ID: O20041015000190
Entity NameCommunity Physicians Of Indiana Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619105244
PECOS PAC ID: 1759416662
Enrollment ID: O20100317000717

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. Geoffrey Mark Fortner 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
Geoffrey Mark Fortner, MD
6626 E 75th St Ste 500,
Indianapolis, IN 46250-2890

Ph: () -		Geoffrey Mark Fortner, MD
7165 Clearvista Way,
Indianapolis, IN 46256

Ph: (317) 621-5100

Reviews and Comments


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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.