| Brian J Fortie, | |
|
46 Fairview Ave, Skowhegan, ME 04976-1481 | |
| (207) 474-5121 | |
| (207) 474-3441 |
| Full Name | Brian J Fortie |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant - Medical |
| Location | 46 Fairview Ave, Skowhegan, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255626784 | NPI | - | NPPES |
| 12255626784 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | PA286 (Maine) | Secondary |
| 363AM0700X | Physician Assistant - Medical | PA286 (Maine) | Primary |
| Entity Name | Redington-fairview General Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174549133 PECOS PAC ID: 9133018740 Enrollment ID: O20040312000119 |
| Entity Name | State of Maine |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699776146 PECOS PAC ID: 7517875131 Enrollment ID: O20040610001611 |
| Entity Name | Redington-fairview General Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1174549133 PECOS PAC ID: 9133018740 Enrollment ID: O20051205000295 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian J Fortie, Po Box 468, Skowhegan, ME 04976-0468 Ph: (207) 858-8367 | Brian J Fortie, 46 Fairview Ave, Skowhegan, ME 04976-1481 Ph: (207) 474-5121 |
Christopher D Blanchette, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 62 Main St, Skowhegan, ME 04976 Phone: 207-858-4844 Fax: 207-858-0348 |
Karissa A Fahnestock, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 46 Fairview Ave, Suite 114, Skowhegan, ME 04976 Phone: 207-474-6943 Fax: 207-474-6946 |
Melissa J Michaud, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 Fax: 207-474-5121 |
Steven Andrew Murray, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 |
Mr. Christopher Warren Garner, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 46 Fairview Ave, Rfgh Emergency Dept, Skowhegan, ME 04976 Phone: 207-474-5121 Fax: 207-474-3441 |
Stephen Arnold, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 46 Fairview Ave, Skowhegan, ME 04976 Phone: 207-474-5121 Fax: 207-474-3441 |
Lauren A Blanchette, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 61 Fairview Ave, Skowhegan, ME 04976 Phone: 207-858-8121 Fax: 207-474-3648 |