Mrs Christian Fortenberry, FNP in Jackson, MS

Mrs Christian Fortenberry, FNP is a medicare enrolled "Family Medicine" physician in Jackson, Mississippi. She graduated from medical school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St. Dominic Medical Associates Llc and her current practice location is 971 Lakeland Dr Ste 557, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 200-4560.

Mrs Christian Fortenberry is licensed to practice in Mississippi (license number 904008) 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 1003415266.

Contact Information

	Mrs Christian Fortenberry, FNP
	971 Lakeland Dr Ste 557, Jackson, MS 39216-4661
	(601) 200-4560
	Not Available

Map and Direction

Physician's Profile

Full Name	Mrs Christian Fortenberry
Gender	Female
Speciality	Nurse Practitioner
Experience	4 Years
Location	971 Lakeland Dr Ste 557, Jackson, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Christian Fortenberry graduated from medical school in 2020

NPI Data:

NPI Number: 1003415266
Provider Enumeration Date: 10/20/2020
Last Update Date: 09/09/2022

Medicare PECOS Information:

PECOS PAC ID: 1355751868
Enrollment ID: I20201111001250

Medical Identifiers

Medical identifiers for Mrs Christian Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003415266	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	904008 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Dominic-jackson Memorial Hospital	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
St. Dominic Medical Associates Llc	0446303168	154

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. Mrs Christian Fortenberry allows following entities to bill medicare on her behalf.

Entity Name	St. Dominic Medical Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407920549 PECOS PAC ID: 0446303168 Enrollment ID: O20090728000821

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. Mrs Christian 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 Address	Practice Location Address
Mrs Christian Fortenberry, FNP 971 Lakeland Dr Ste 557, Jackson, MS 39216-4661 Ph: (601) 200-4560	Mrs Christian Fortenberry, FNP 971 Lakeland Dr Ste 557, Jackson, MS 39216-4661 Ph: (601) 200-4560

Reviews and Comments

Family Medicine Doctors in Jackson, MS

Dr. Tesia Shani Hall-hill, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5429 Robinson Road Ext, Jackson, MS 39204 Phone: 601-914-0163 Fax: 601-914-0170
Dr. Marcia L Howard, Family Medicine Medicare: Medicare Enrolled Practice Location: 2500 N State St, Dept Of Family Medicine, Jackson, MS 39216 Phone: 601-984-5426 Fax: 601-984-6889
Stephen Paul Epperson, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1225 N State St, Jackson, MS 39202 Phone: 601-988-5281 Fax: 601-974-5241
Deborah O'bryan, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2500 N State St, Jackson, MS 39216 Phone: 601-815-4778 Fax: 601-984-5420
Dr. Cassandra Faye Thomas, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 514c E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-981-7198 Fax: 601-981-6616
Mrs. Sydney Mccary Ponder, Family Medicine Medicare: Medicare Enrolled Practice Location: 1325 E Fortification St, Jackson, MS 39202 Phone: 601-354-4488

Mrs Christian Fortenberry, FNP - Medicare Nurse Practitioner in Jackson, MS