Paula J Fortner, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" physician in Logan, Ohio. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Osup Community Outreach Llc and her current practice location is
601 State Route 664 N, Logan, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 380-8000.
Paula J Fortner is licensed to practice in Ohio (license number APRN.CNP.16625) 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 1639577026.
Physician's Profile
| Full Name | Paula J Fortner |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 601 State Route 664 N, Logan, Ohio |
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| 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:
- Paula J Fortner graduated from medical school in 2014
NPI Data:
- NPI Number: 1639577026
- Provider Enumeration Date: 12/17/2014
- Last Update Date: 04/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 8426373135
- Enrollment ID: I20150220000404
Medical Identifiers
Medical identifiers for Paula J Fortner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1639577026 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | APRN.CNP.16625 (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.16625 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Osup Community Outreach Llc | 5799008082 | 120 |
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. Paula J Fortner allows following entities to bill medicare on her behalf.
| Entity Name | Scott J Anzalone |
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| Entity Type | Practitioner - Family Practice |
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| Entity Identifiers | NPI Number: 1275544579 PECOS PAC ID: 5496776379 Enrollment ID: I20051207001101 |
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| Entity Name | Osup Community Outreach Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699179929 PECOS PAC ID: 5799008082 Enrollment ID: O20141217001070 |
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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. Paula J 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 Address | Practice Location Address |
Paula J Fortner, APRN-CNP 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (740) 380-8000 | Paula J Fortner, APRN-CNP 601 State Route 664 N, Logan, OH 43138-8541 Ph: (740) 380-8000 |
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