Brent W Mortenson, DMD in Louisville, KY - Medicare Oral Surgery Provider

Brent W Mortenson, DMD is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Louisville, Kentucky. He went to University Of Louisville School Of Dentistry and graduated in 1993 and has 31 years of diverse experience with area of expertise as Oral Surgery. He is a member of the group practice Oral Surgery Group Of Frankfort, Pllc and his current practice location is 134 Evergreen Rd, Suite 103, Louisville, Kentucky. You can reach out to his office (for appointments etc.) via phone at (502) 410-1702.

Brent W Mortenson is licensed to practice in Kentucky (license number 7229) 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 1356369169.

Contact Information

	Brent W Mortenson, DMD
	134 Evergreen Rd, Suite 103, Louisville, KY 40243-1487
	(502) 410-1702
	(502) 244-0817

Map and Direction

Healthcare Provider's Profile

Full Name	Brent W Mortenson
Gender	Male
Speciality	Oral Surgery
Experience	31 Years
Location	134 Evergreen Rd, Louisville, Kentucky
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:

Brent W Mortenson attended and graduated from University Of Louisville School Of Dentistry in 1993

NPI Data:

NPI Number: 1356369169
Provider Enumeration Date: 07/18/2006
Last Update Date: 06/18/2014

Medicare PECOS Information:

PECOS PAC ID: 7315954187
Enrollment ID: I20060320000475

Medical Identifiers

Medical identifiers for Brent W Mortenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356369169	NPI	-	NPPES
64072291	Medicaid	KY
60072295	Medicaid	KY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	7229 (Kentucky)	Secondary
1223P0221X	Dentist - Pediatric Dentistry	7229 (Kentucky)	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	7229 (Kentucky)	Primary
204E00000X	Oral & Maxillofacial Surgery	7229 (Kentucky)	Secondary

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. Brent W Mortenson allows following entities to bill medicare on his behalf.

Entity Name	Oral Surgery Group Of Frankfort, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568768224 PECOS PAC ID: 9335327964 Enrollment ID: O20110629000359

Entity Name	Oral Surgery Group Of Middletown Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497070148 PECOS PAC ID: 8022280957 Enrollment ID: O20111018000723

Entity Name	Specialized Dental Services Jefferson Mall Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033397914 PECOS PAC ID: 1759531874 Enrollment ID: O20121026000414

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. Brent W 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
Brent W Mortenson, DMD 134 Evergreen Rd, Suite 103, Louisville, KY 40243-1487 Ph: (502) 410-1702	Brent W Mortenson, DMD 134 Evergreen Rd, Suite 103, Louisville, KY 40243-1487 Ph: (502) 410-1702

Reviews and Comments

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Brent W Mortenson, DMD - Medicare Dentist in Louisville, KY