Jamie Vice Fortner, FNP - Medicare Nurse Practitioner in Oxford, MS

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Jamie Vice Fortner, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Oxford, Mississippi. Her current practice location is 1203 Medical Park Dr, Oxford, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 513-4399.

Jamie Vice Fortner is licensed to practice in Mississippi (license number R878817) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992139976.

Contact Information

Jamie Vice Fortner, FNP
1203 Medical Park Dr,
Oxford, MS 38655-5327
(662) 513-4399
(662) 513-4330



Physician's Profile

Full NameJamie Vice Fortner
GenderFemale
SpecialityNurse Practitioner - Family
Location1203 Medical Park Dr, Oxford, Mississippi
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1992139976
  • Provider Enumeration Date: 08/27/2013
  • Last Update Date: 08/28/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9830310119
  • Enrollment ID: I20141030001238

Medical Identifiers

Medical identifiers for Jamie Vice Fortner such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992139976NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics F0613716 (Mississippi)Secondary
363LF0000XNurse Practitioner - Family R878817 (Mississippi)Primary

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. Jamie Vice Fortner allows following entities to bill medicare on her behalf.
Entity NameRedmed, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437589157
PECOS PAC ID: 2961633656
Enrollment ID: O20140321001095

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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. Jamie Vice Fortner 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
Jamie Vice Fortner, FNP
1203 Medical Park Dr,
Oxford, MS 38655-5327

Ph: (662) 513-4399		Jamie Vice Fortner, FNP
1203 Medical Park Dr,
Oxford, MS 38655-5327

Ph: (662) 513-4399

News Archive

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