Derek Fortin, RN is a
Registered Nurse - Emergency based in Granby, Massachusetts. Derek Fortin is licensed to practice in Massachusetts (license number RN10012514) and his current practice location is
7 Cold Hill Dr, Granby, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(413) 320-0150.
NPI number for Derek Fortin is 1083525836 and his current mailing address is 7 Cold Hill Dr, Granby, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083525836.
Provider's Profile
| Full Name | Derek Fortin |
|---|
| Gender | Male |
|---|
| Speciality | Registered Nurse - Emergency |
|---|
| Location | 7 Cold Hill Dr, Granby, Massachusetts |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083525836
- Provider Enumeration Date: 09/12/2026
- Last Update Date: 09/12/2026
Medical Identifiers
Medical identifiers for Derek Fortin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083525836 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163WE0003X | Registered Nurse - Emergency | RN10012514 (Massachusetts) | Primary |
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. Derek Fortin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Derek Fortin, RN 7 Cold Hill Dr, Granby, MA 01033-9747 Ph: Not Available | Derek Fortin, RN 7 Cold Hill Dr, Granby, MA 01033-9747 Ph: (413) 320-0150 |
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