Charles Edward Fortenberry, RN - Medicare Nurse Practitioner in Decatur, AL

Charles Edward Fortenberry, RN is a medicare enrolled "Nurse Practitioner" in Decatur, Alabama. His current practice location is 1103 16th Ave Se, Decatur, Alabama. You can reach out to his office (for appointments etc.) via phone at (256) 350-0362.

Charles Edward Fortenberry is licensed to practice in Alabama (license number 1-049601) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1023234648.

Contact Information

Charles Edward Fortenberry, RN
1103 16th Ave Se,
Decatur, AL 35601-3595
(256) 350-0362
Not Available



Provider's Profile

Full NameCharles Edward Fortenberry
GenderMale
SpecialityNurse Practitioner
Location1103 16th Ave Se, Decatur, Alabama
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1023234648
  • Provider Enumeration Date: 04/18/2007
  • Last Update Date: 10/22/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0749389112
  • Enrollment ID: I20160217000404

Medical Identifiers

Medical identifiers for Charles Edward Fortenberry such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1023234648NPI-NPPES
51006076OtherALBLUE CROSS BLUE SHIELD AL
891017506MedicaidAL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1-049601 (Alabama)Primary

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. Charles Edward Fortenberry 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
Charles Edward Fortenberry, RN
1103 16th Ave Se,
Decatur, AL 35601-3595

Ph: () -
Charles Edward Fortenberry, RN
1103 16th Ave Se,
Decatur, AL 35601-3595

Ph: (256) 350-0362

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Nurse Practitioner Nurses in Decatur, AL

Mrs. Natalie Mccay, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2941 Point Mallard Pkwy Se, Suite N, Decatur, AL 35603
Phone: 256-432-2822    Fax: 256-432-2825
Heather R Carter, ARNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1350 14th Ave Se, Decatur, AL 35601
Phone: 256-355-6911    
Mrs. Kami Elizabeth Whorton, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1874 Beltline Rd Sw, Decatur, AL 35601
Phone: 256-301-3207    
Ranjanben B Patel,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1310 14th Ave Se, Decatur, AL 35601
Phone: 256-705-4224    Fax: 256-705-4135
Megan Lynn Sanford, CRNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2422 Danville Rd Sw Ste E, Decatur, AL 35603
Phone: 256-355-9040    Fax: 256-355-9048
Kimberly Lee Randolph, CRNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2205 Beltline Rd Sw, Decatur, AL 35601
Phone: 256-306-4000    

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