MR. DENNIS LEROY FORTNER III P.A.
NPI 1891092771
Physician Assistant - Medical in Ormond Beach, FL
About Mr. Dennis Leroy Fortner Iii P.a. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. DENNIS LEROY FORTNER III P.A. (NPI 1891092771) is an individual medical provider in Ormond Beach, Florida, licensed in Florida (PA9105894) and active in the NPI registry since February 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Dennis Leroy Fortner Iii P.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Dennis Fortner's NPI number?
The NPI number for Dennis Fortner is 1891092771. It was assigned to this individual provider in the NPPES registry on February 11, 2011.
Where is Dennis Fortner located?
Dennis Fortner practices at 298 S Yonge St, Ormond Beach, FL 32174. The listed phone number is (386) 479-2151.
What is Dennis Fortner's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Dennis Fortner enrolled in Medicare?
Yes. Dennis Fortner is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Dennis Fortner was last updated on October 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mr. Dennis Leroy Fortner III, P.A. · NPI 1891092771
Medical physician in Ormond Beach, Florida. Individual provider, active in the CMS NPPES registry since February 11, 2011.
## Identity
- **NPI:** 1891092771 (Entity type: Individual)
- **Enumerated:** February 11, 2011
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA9105894 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 298 S YONGE ST, Ormond Beach, FL 32174-6264
- **Phone:** (386) 479-2151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 16, 2016
- **Other identifiers:** Medicare PIN FK145X (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1891092771) · Data from the CMS NPPES public registry.