Mr Keith Wesley Fort, PA-C in Jonesboro, GA - Medicare Physician Assistant

Mr Keith Wesley Fort, PA-C is a medicare enrolled "Physician Assistant" in Jonesboro, Georgia. He graduated from nursing school in 2008 and has 16 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice The Southeast Permanente Medical Group and his current practice location is 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, Georgia. You can reach out to his office (for appointments etc.) via phone at (201) 943-9100.

Mr Keith Wesley Fort is licensed to practice in Georgia (license number 006400) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1487888061.

Contact Information

	Mr Keith Wesley Fort, PA-C
	2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500
	(201) 943-9100
	(201) 943-7308

Map and Direction

Provider's Profile

Full Name	Mr Keith Wesley Fort
Gender	Male
Speciality	Physician Assistant
Experience	16 Years
Location	2400 Mount Zion Pkwy, Jonesboro, Georgia
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Keith Wesley Fort graduated from nursing school in 2008

NPI Data:

NPI Number: 1487888061
Provider Enumeration Date: 05/11/2009
Last Update Date: 01/10/2022

Medicare PECOS Information:

PECOS PAC ID: 1456407170
Enrollment ID: I20120514000406

Medical Identifiers

Medical identifiers for Mr Keith Wesley Fort such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487888061	NPI	-	NPPES
162546NMS	Other	NJ	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	6400 (Georgia)	Secondary
363AS0400X	Physician Assistant - Surgical	25MP00214500 (New Jersey)	Secondary
363A00000X	Physician Assistant	006400 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Southeast Permanente Medical Group	6204829013	576

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. Mr Keith Wesley Fort 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
Mr Keith Wesley Fort, PA-C 3495 Piedmont Rd Ne, Nine Piedmont Center, Atlanta, GA 30305-1717 Ph: (404) 504-5678	Mr Keith Wesley Fort, PA-C 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Medical Center, Jonesboro, GA 30236-2500 Ph: (201) 943-9100

Reviews and Comments

Physician Assistant Nurses in Jonesboro, GA

Teresa Cleaves, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 804 River Mist Dr, Jonesboro, GA 30238 Phone: 770-985-4257 Fax: 770-985-4258
Mr. Jerome A Maislis, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 2400 Mt. Zion Parkway, Kaiser Permanente Southwood Comprehensive Medical Cente, Jonesboro, GA 30236 Phone: 770-603-3649
Rebecca Mcphail, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7823 Spivey Station Blvd, Jonesboro, GA 30236 Phone: 770-996-1122
Stephanie Summerhill-brcka, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 2400 Mount Zion Pkwy, Jonesboro, GA 30236 Phone: 404-365-0966
Karen Dixon, CSA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 325 Fieldstone Pkwy, Jonesboro, GA 30236 Phone: 678-499-5103 Fax: 770-629-5554
Meghan C Campbell, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2400 Mount Zion Pkwy, Kaiser Permanente Southwood Comprehensive Medical Ctr, Jonesboro, GA 30236 Phone: 770-603-3649

Mr Keith Wesley Fort, PA-C - Medicare Physician Assistant in Jonesboro, GA