Tabitha B. Fortt, M.d., Llc - Medicare Primary Care in Stamford, CT

Tabitha B. Fortt, M.d., Llc is a medicare enrolled primary clinic (Clinic/center - Primary Care) in Stamford, Connecticut. The current practice location for Tabitha B. Fortt, M.d., Llc is 37 Glenbrook Rd, Suite #3, Stamford, Connecticut. For appointments, you can reach them via phone at (203) 674-0774. The mailing address for Tabitha B. Fortt, M.d., Llc is 37 Glenbrook Rd, Suite #3, Stamford, Connecticut and phone number is (203) 674-0774.

Tabitha B. Fortt, M.d., Llc is licensed to practice in Connecticut (license number 037894). The clinic also participates in the medicare program and its NPI number is 1235597741. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (203) 674-0774.

Contact Information

Tabitha B. Fortt, M.d., Llc
37 Glenbrook Rd
Suite #3
Stamford
CT 06902-2913
(203) 674-0774
(203) 674-0766

Primary Care Clinic Profile

Full NameTabitha B. Fortt, M.d., Llc
SpecialityClinic/Center
Location37 Glenbrook Rd, Stamford, Connecticut
Authorized Official Name and PositionTabitha B Fortt (MEMBER/MANAGER)
Authorized Official Contact2036740774
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Tabitha B. Fortt, M.d., Llc
37 Glenbrook Rd
Suite #3
Stamford
CT 06902-2913

Ph: (203) 674-0774
Tabitha B. Fortt, M.d., Llc
37 Glenbrook Rd
Suite #3
Stamford
CT 06902-2913

Ph: (203) 674-0774

NPI Details:

NPI Number1235597741
Provider Enumeration Date01/29/2016
Last Update Date02/02/2016

Medicare PECOS Information:

Medicare PECOS PAC ID1850681362
Medicare Enrollment IDO20160610001545

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Medical Identifiers

Medical identifiers for Tabitha B. Fortt, M.d., Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235597741NPI-NPPES
008036735MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care 037894 (Connecticut)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Tabitha B. Fortt, M.d., Llc acts as a billing entity for following providers:
Provider NameTabitha B Fortt
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1427050426
PECOS PAC ID: 5890794408
Enrollment ID: I20061208000388

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