Mrs Mary Elizabeth Fortman, NP - Medicare Nurse Practitioner in Ft. Wayne, IN

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Mrs Mary Elizabeth Fortman, NP is a medicare enrolled "Nurse Practitioner" in Ft. Wayne, Indiana. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Consonant Healing Associates Of De Llc, Auburn Urgent Care Walk In Clinic and her current practice location is Parkview Health, 11108 Parkview Circle Dr, Door 10, Ft. Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 266-1000.

Mrs Mary Elizabeth Fortman is licensed to practice in Indiana (license number 71010812A) 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 1942892682.

Contact Information

Mrs Mary Elizabeth Fortman, NP
Parkview Health, 11108 Parkview Circle Dr, Door 10,
Ft. Wayne, IN 46845
(260) 266-1000
Not Available

Map and Direction




Provider's Profile

Full NameMrs Mary Elizabeth Fortman
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
LocationParkview Health, Ft. Wayne, Indiana
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:
  • Mrs Mary Elizabeth Fortman graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1942892682
  • Provider Enumeration Date: 02/04/2021
  • Last Update Date: 02/04/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9739577438
  • Enrollment ID: I20211029001424

Medical Identifiers

Medical identifiers for Mrs Mary Elizabeth Fortman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942892682NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71010812A (Indiana)Secondary
363L00000XNurse Practitioner 71010812A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Consonant Healing Associates Of De Llc246687169462
Auburn Urgent Care Walk In Clinic46880522282

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. Mrs Mary Elizabeth Fortman allows following entities to bill medicare on her behalf.
Entity NameConsonant Healing Associates Of De Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669099321
PECOS PAC ID: 2466871694
Enrollment ID: O20210325000520
Entity NameDecatur Urgent Care Walk In Clinic Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669131074
PECOS PAC ID: 6103210869
Enrollment ID: O20220223002835
Entity NameAuburn Urgent Care Walk In Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518605716
PECOS PAC ID: 4688052228
Enrollment ID: O20220609002096

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. Mrs Mary Elizabeth Fortman 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
Mrs Mary Elizabeth Fortman, NP
1828 S. Tyland Blvd.,
New Haven, IN 46774

Ph: (260) 615-1031		Mrs Mary Elizabeth Fortman, NP
Parkview Health, 11108 Parkview Circle Dr, Door 10,
Ft. Wayne, IN 46845

Ph: (260) 266-1000

Reviews and Comments


Nurse Practitioner Nurses in Ft. Wayne, IN


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.