Jenifer K Fortney (NPI# 1073963351, PAC ID# 9133416746) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1073963351 |
| PAC ID by PECOS | 9133416746 |
| Professional Enrollment ID | I20160926001775 |
| Full Name | Jenifer K Fortney |
| Organization Legal Name | THREE RIVERS DERMATOLOGY, LLC |
| Address |
5650 Coventry Ln Fort Wayne IN 46804-7140 |
| Phone Number | 2604369696 |
| Gender | F |
| Graduation Year | 2016 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3375685092 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 5650 Coventry Ln, Fort Wayne, IN 46804-7140 | 2604369696 | THREE RIVERS DERMATOLOGY, LLC |
| Organization Legal Name | THREE RIVERS DERMATOLOGY, LLC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey W Sassmannshausen | Dermatology | Three Rivers Dermatology, LLC | 5650 Coventry Ln, Fort Wayne, IN 46804-7140 |
| Jacquelyn Ray Beemer | Physician Assistant | Three Rivers Dermatology, LLC | 5650 Coventry Ln, Fort Wayne, IN 46804-7140 |
| A Michelle Ferguson | Physician Assistant | Three Rivers Dermatology, LLC | 5650 Coventry Ln, Fort Wayne, IN 46804-7140 |
| Street Address |
5650 COVENTRY LN |
| City | FORT WAYNE |
| State | IN |
| Zip | 46804-7140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeffrey W Sassmannshausen | Dermatology | Three Rivers Dermatology, LLC | 5650 Coventry Ln, Fort Wayne, IN 46804-7140 |
| Jacquelyn Ray Beemer | Physician Assistant | Three Rivers Dermatology, LLC | 5650 Coventry Ln, Fort Wayne, IN 46804-7140 |
| A Michelle Ferguson | Physician Assistant | Three Rivers Dermatology, LLC | 5650 Coventry Ln, Fort Wayne, IN 46804-7140 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Griffith | Speech Language Pathologist | 6205 Constitution Dr, Fort Wayne, IN 46804-1517 | |
| Michael Scherbinski | Clinical Psychologist | Prometheus Psychological Services | 6229 Constitution Dr, Fort Wayne, IN 46804-1517 |
| Jessie Whiteman | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Monique L M Levesque-hartle | Chiropractic | Allen County Chiropractic LLC | 6320 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Amy Harmeyer | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Casey Peterson | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Ashley Brown | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Nicholas Hammond | Physician Assistant | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Barbara L Starry | Nurse Practitioner | Rp Care LLC | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Rochelle L Johnson | Nurse Practitioner | Rounding Providers | 6326 Constitution Dr, Fort Wayne, IN 46804-1518 |
| Find all physicians in zip 46804 | |||
| City | FORT WAYNE |
| Zip Code | 46804 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | FORT WAYNE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jenifer K Fortney.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.