Kathleen Forti-gallant, FNP - Medicare Nurse Practitioner in Bangor, ME

Kathleen Forti-gallant, FNP is a medicare enrolled "Clinical Nurse Specialist - Medical-surgical" in Bangor, Maine. She graduated from nursing school in 1998 and has 26 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Acadia Hospital Corp., Eastern Maine Medical Center and her current practice location is 925 Union St Ste 3, Bangor, Maine. You can reach out to her office (for appointments etc.) via phone at (207) 973-9980.

Kathleen Forti-gallant is licensed to practice in Maine (license number CNP81358) 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 1407876279.

Contact Information

Kathleen Forti-gallant, FNP
925 Union St Ste 3,
Bangor, ME 04401-3051
(207) 973-9980
(207) 973-7515

Map and Direction




Provider's Profile

Full NameKathleen Forti-gallant
GenderFemale
SpecialityNurse Practitioner
Experience26 Years
Location925 Union St Ste 3, Bangor, Maine
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen Forti-gallant graduated from nursing school in 1998
  NPI Data:
  • NPI Number: 1407876279
  • Provider Enumeration Date: 07/21/2006
  • Last Update Date: 04/06/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7810918752
  • Enrollment ID: I20051207000813

Medical Identifiers

Medical identifiers for Kathleen Forti-gallant such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407876279NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
364SM0705XClinical Nurse Specialist - Medical-surgical CNP81358 (Maine)Primary
364SM0705XClinical Nurse Specialist - Medical-surgical R028705 (Maine)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Eastern Maine Medical CenterBangor, MEHospital
Sebasticook Valley HealthPittsfield, MEHospital
Northern Light Inland HospitalWaterville, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Acadia Hospital Corp.771987849585
Eastern Maine Medical Center2062315161594

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. Kathleen Forti-gallant allows following entities to bill medicare on her behalf.
Entity NameEastern Maine Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790789147
PECOS PAC ID: 2062315161
Enrollment ID: O20040128000088
Entity NameAcadia Hospital Corp.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1215940523
PECOS PAC ID: 7719878495
Enrollment ID: O20040323000136
Entity NameSebasticook Valley Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457461477
PECOS PAC ID: 3476462797
Enrollment ID: O20040513001197

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. Kathleen Forti-gallant 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
Kathleen Forti-gallant, FNP
43 Whiting Hill Rd Ste 300,
Brewer, ME 04412-1006

Ph: (207) 973-5035
Kathleen Forti-gallant, FNP
925 Union St Ste 3,
Bangor, ME 04401-3051

Ph: (207) 973-9980

Reviews and Comments


Clinical Nurse Specialist Nurses in Bangor, ME

Jennie S. Dubosky, MS, A.P.R.N.,CNS-BC
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 1068 Union St, Bangor, ME 04401
Phone: 207-947-0147    Fax: 207-990-3365
Pamela S Miller, PMH NP
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401
Phone: 207-973-6100    Fax: 207-973-6109
Bridget Larson, APRN CNS
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 268 Stillwater Avenue, Acadia Hospital Corp, Bangor, ME 04401
Phone: 207-973-6100    Fax: 207-973-6109
Elizabeth R Pelissier, APRN
Clinical Nurse Specialist
Medicare: Not Enrolled in Medicare
Practice Location: 1012 Union St, Bangor, ME 04401
Phone: 207-945-5247    Fax: 207-990-1248
Deidre P Tukey, MSN
Clinical Nurse Specialist
Medicare: Medicare Enrolled
Practice Location: 1012 Union St, Bangor, ME 04401
Phone: 207-945-5247    Fax: 207-990-1248

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.