Mr Mark Douglas Mottonen, is a medicare enrolled "Social Worker - Clinical" provider in S Salt Lake, Utah. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice University Of Utah Pediatric Behavioral Health Services, University Of Utah Behavioral Health Services and 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 | Clinical Social Worker |
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Experience | 29 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 graduated from medical school in 1995
NPI Data:
- NPI Number: 1861653784
- Provider Enumeration Date: 06/23/2008
- Last Update Date: 11/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 2163445982
- Enrollment ID: I20060107000085
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 |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
University Of Utah Pediatric Behavioral Health Services | 3870886898 | 2 |
University Of Utah Behavioral Health Services | 9537483607 | 152 |
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 Mark Douglas Mottonen allows following entities to bill medicare on his behalf.
Entity Name | University Of Utah Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740688613 PECOS PAC ID: 9537483607 Enrollment ID: O20150120001118 |
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Entity Name | University Of Utah Pediatric Behavioral Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1649631599 PECOS PAC ID: 3870886898 Enrollment ID: O20160727002309 |
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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 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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