Larry Max Fort Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Franklin, TN

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Larry Max Fort Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Franklin, Tennessee. He graduated from nursing school in 1997 and has 29 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Mchs Hospitals Inc, Sweet Dreams Anesthesia Inc, Southeast Alaska Regional Health Consortium, Nashville Anesthesia Pllc, Maine Coast Regional Health Facilities and his current practice location is 4323 Carothers Pkwy Ste 208, Franklin, Tennessee. You can reach out to his office (for appointments etc.) via phone at (615) 778-0010.

Larry Max Fort Jr is licensed to practice in Tennessee (license number APN0000010015) 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 1669402038.

Contact Information

Larry Max Fort Jr, CRNA
4323 Carothers Pkwy Ste 208,
Franklin, TN 37067-5916
(615) 778-0010
Not Available

Map and Direction




Provider's Profile

Full NameLarry Max Fort Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience29 Years
Location4323 Carothers Pkwy Ste 208, Franklin, Tennessee
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Larry Max Fort Jr graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1669402038
  • Provider Enumeration Date: 07/03/2006
  • Last Update Date: 05/08/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 0244228153
  • Enrollment ID: I20241219003147

Medical Identifiers

Medical identifiers for Larry Max Fort Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669402038NPI-NPPES
4067168OtherTNBLUE SHIELD
7235513OtherTNAETNA PPO
3626436MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 10015 (Tennessee)Secondary
367500000XNurse Anesthetist, Certified Registered 15554 (Wisconsin)Secondary
367500000XNurse Anesthetist, Certified Registered APN0000010015 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Northern Light Maine Coast HospitalEllsworth, MEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mchs Hospitals Inc56980711731187
Sweet Dreams Anesthesia Inc004247770592
Southeast Alaska Regional Health Consortium1456265362370
Nashville Anesthesia Pllc155735050162
Maine Coast Regional Health Facilities105220811371

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. Larry Max Fort Jr allows following entities to bill medicare on his behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameBeaver Dam Community Hospitals Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972188555
PECOS PAC ID: 2567370539
Enrollment ID: O20040210000666
Entity NameMemorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20040519001426
Entity NameFlambeau Hospital, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700963048
PECOS PAC ID: 9032029871
Enrollment ID: O20070828000478
Entity NameMemorial Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20110526000807
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096
Entity NameLakeview Medical Center Inc Of Rice Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093201832
PECOS PAC ID: 6103737820
Enrollment ID: O20180817001484
Entity NameMchs Hospitals Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1952890873
PECOS PAC ID: 5698071173
Enrollment ID: O20180904002962
Entity NameFlambeau Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194317966
PECOS PAC ID: 9032029871
Enrollment ID: O20210409000059

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. Larry Max Fort Jr 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
Larry Max Fort Jr, CRNA
2534 Saint James Dr,
Franklin, TN 37064-6753

Ph: (615) 585-6218		Larry Max Fort Jr, CRNA
4323 Carothers Pkwy Ste 208,
Franklin, TN 37067-5916

Ph: (615) 778-0010

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Franklin, TN

Laura Verner Williams, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 9160 Carothers Pkwy, Franklin, TN 37067
Phone: 615-550-6066    
Mr. Shawn W Palmiter, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3000 Edward Curd Ln Ste 100, Franklin, TN 37067
Phone: 615-614-5000    
Joannie R Summers, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 3310 Aspen Grove Dr Ste 203, Franklin, TN 37067
Phone: 615-430-0364    
Susan Moyers, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1251 Lewisburg Pike, Franklin, TN 37064
Phone: 615-791-2360    

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.