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

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Larry Max Fort Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Columbia, Tennessee. He graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Integrated Anesthesia Services, Plc, Nashville Anesthesia Pllc and his current practice location is 725 S James Campbell Blvd, Columbia, Tennessee. You can reach out to his office (for appointments etc.) via phone at (931) 381-3700.

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
725 S James Campbell Blvd,
Columbia, TN 38401-5962
(931) 381-3700
(931) 381-9093

Map and Direction




Provider's Profile

Full NameLarry Max Fort Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience27 Years
Location725 S James Campbell Blvd, Columbia, 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: 07/09/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0244228153
  • Enrollment ID: I20040430001152

Medical Identifiers

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

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered APN0000010015 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Tristar Stonecrest Medical CenterSmyrna, TNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Integrated Anesthesia Services, Plc024433525525
Nashville Anesthesia Pllc155735050158

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 NameCardiovascular Anesthesiologists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912953381
PECOS PAC ID: 4688571045
Enrollment ID: O20031215000805
Entity NameNashville Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225081805
PECOS PAC ID: 1557350501
Enrollment ID: O20040601001098
Entity NameIntegrated Anesthesia Services, Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194736108
PECOS PAC ID: 0244335255
Enrollment ID: O20070419000739
Entity NameGf Medical Solutions Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518398742
PECOS PAC ID: 8224268396
Enrollment ID: O20140311001709
Entity NameMedstream Anesthesia Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1649616160
PECOS PAC ID: 7416198049
Enrollment ID: O20140314001426
Entity NameAnesthesia Associates Of Columbia Tn Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871979781
PECOS PAC ID: 1557679644
Enrollment ID: O20151009002372
Entity NameNashville Gastrointestinal Anesthesia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902282130
PECOS PAC ID: 7810206059
Enrollment ID: O20151028003108

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
Po Box 299,
Manchester, TN 37349-0299

Ph: (931) 728-5607		Larry Max Fort Jr, CRNA
725 S James Campbell Blvd,
Columbia, TN 38401-5962

Ph: (931) 381-3700

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Columbia, TN

Elizabeth Foster, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 931-381-1111    
Kendra Rennell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 931-381-1111    
Amanda R Voss, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 877-319-7141    Fax: 877-243-2920
Lisa R Lovett, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 931-381-1111    
Anthony Scott Sorrell, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 931-381-1111    
Benjamin T Hargrove,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 931-381-1111    Fax: 931-490-7064
William Matthew Hargrove, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1224 Trotwood Ave, Columbia, TN 38401
Phone: 866-612-5074    

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.