Dr Allen Wayne Mortimer, DDS in Burton, MI

Dr Allen Wayne Mortimer, DDS is a medicare enrolled "Dentist - General Practice" provider in Burton, Michigan. His current practice location is 4495 S Center Rd, Burton, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 743-5131.

Dr Allen Wayne Mortimer is licensed to practice in Michigan (license number 2901020727) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1972867851.

Contact Information

	Dr Allen Wayne Mortimer, DDS
	4495 S Center Rd, Burton, MI 48519-1417
	(810) 743-5131
	(810) 743-1111

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Allen Wayne Mortimer
Gender	Male
Speciality	Dentist - General Practice
Location	4495 S Center Rd, Burton, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972867851
Provider Enumeration Date: 06/26/2012
Last Update Date: 06/26/2012

Medicare PECOS Information:

PECOS PAC ID: 3173742293
Enrollment ID: I20140922001729

Medical Identifiers

Medical identifiers for Dr Allen Wayne Mortimer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972867851	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	2901020727 (Michigan)	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. Dr Allen Wayne Mortimer allows following entities to bill medicare on his behalf.

Entity Name	Mortimer Family Dentistry Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417121732 PECOS PAC ID: 2163616913 Enrollment ID: O20101105000177

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. Dr Allen Wayne Mortimer 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
Dr Allen Wayne Mortimer, DDS 4495 S Center Rd, Burton, MI 48519-1417 Ph: (810) 743-5131	Dr Allen Wayne Mortimer, DDS 4495 S Center Rd, Burton, MI 48519-1417 Ph: (810) 743-5131

Reviews and Comments

Dentist in Burton, MI

Dr. David Charles Bonadeo, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: G3280 S Grand Traverse St, Burton, MI 48529 Phone: 810-744-4400 Fax: 810-744-1314
Sanjay Agrawal, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5475 Davison Rd, Burton, MI 48509 Phone: 810-736-9778 Fax: 810-736-3269
Dr. Linda M Park, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 4300 E Court St, Burton, MI 48509 Phone: 810-742-5140 Fax: 810-742-6650
William H Moon Jr., DDS Dentist Medicare: Medicare Enrolled Practice Location: 1481 S Center Rd, Burton, MI 48509 Phone: 810-744-2982 Fax: 810-744-2983
Dr. Nazanin Tanha, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1080 Creekwood Trl, Burton, MI 48509 Phone: 810-743-4536
Dr. Ryan Kenneth Rawlings, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1200 Creekwood Trl, Burton, MI 48509 Phone: 810-743-1774
Dr. Carl I. Schwartz, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2414 S Center Rd, Burton, MI 48519 Phone: 810-744-3388 Fax: 810-744-4080

Dr Allen Wayne Mortimer, DDS - Medicare Dentist in Burton, MI