Mr Dale E Mortenson, DC is a medicare enrolled "Chiropractor" provider in Lynn Haven, Florida. He went to Palmer College Chiropractic - Davenport and graduated in 1983 and has 41 years of diverse experience with area of expertise as Chiropractic. His current practice location is
1101 Ohio Ave, Lynn Haven, Florida. You can reach out to his office (for appointments etc.) via phone at
(850) 265-6163.
Mr Dale E Mortenson is licensed to practice in Florida (license number CH4624) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1629149612.
Healthcare Provider's Profile
| Full Name | Mr Dale E Mortenson |
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| Gender | Male |
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| Speciality | Chiropractic |
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| Experience | 41 Years |
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| Location | 1101 Ohio Ave, Lynn Haven, Florida |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Dale E Mortenson attended and graduated from Palmer College Chiropractic - Davenport in 1983
NPI Data:
- NPI Number: 1629149612
- Provider Enumeration Date: 11/13/2006
- Last Update Date: 03/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 8426143611
- Enrollment ID: I20071003000267
Medical Identifiers
Medical identifiers for Mr Dale E Mortenson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629149612 | NPI | - | NPPES |
| 70497 | Other | FL | BCBS |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 111N00000X | Chiropractor | CH4624 (Florida) | 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. Mr Dale E Mortenson allows following entities to bill medicare on his behalf.
| Provider Name | Dale E Mortenson Dc Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1952544413
PECOS PAC ID: 5799960001
Enrollment ID: O20110502000628 |
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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. Mr Dale E Mortenson 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 Address | Practice Location Address |
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Mr Dale E Mortenson, DC
Pob 1960,
Lynn Haven, FL 32444-6960
Ph: (850) 265-6163 | Mr Dale E Mortenson, DC
1101 Ohio Ave,
Lynn Haven, FL 32444-2554
Ph: (850) 265-6163 |
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