Mr Mark Douglas Mottonen, is a medicare enrolled "Social Worker - Clinical" provider in S Salt Lake, Utah. His current practice location is
451 Bishop Federal Ln, S Salt Lake, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 487-7557.
Mr Mark Douglas Mottonen is licensed to practice in Utah (license number 139850-3501) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1861653784.
Healthcare Provider's Profile
Full Name | Mr Mark Douglas Mottonen |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 451 Bishop Federal Ln, S Salt Lake, Utah |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mr Mark Douglas Mottonen attended and graduated from in
NPI Data:
- NPI Number: 1861653784
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Mark Douglas Mottonen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861653784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 139850-3501 (Utah) | 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. Mr Mark Douglas Mottonen 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 |
Mr Mark Douglas Mottonen, 451 Bishop Federal Ln, S Salt Lake, UT 84115-2357 Ph: (801) 487-7557 | Mr Mark Douglas Mottonen, 451 Bishop Federal Ln, S Salt Lake, UT 84115-2357 Ph: (801) 487-7557 |
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