Blake C Mortenson, MD - Medicare Diagnostic Radiology in Logan, UT

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Blake C Mortenson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Logan, Utah. He went to University Of Utah School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Intermountain Healthcare Services, Inc and his current practice location is 1400 N 500 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 716-1000.

Blake C Mortenson is licensed to practice in Utah (license number 48375961205) 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 1427056860.

Contact Information

Blake C Mortenson, MD
1400 N 500 E,
Logan, UT 84341-2455
(435) 716-1000
Not Available

Map and Direction




Physician's Profile

Full NameBlake C Mortenson
GenderMale
SpecialityDiagnostic Radiology
Experience32 Years
Location1400 N 500 E, Logan, Utah
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Blake C Mortenson attended and graduated from University Of Utah School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1427056860
  • Provider Enumeration Date: 07/11/2005
  • Last Update Date: 04/20/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 4981508009
  • Enrollment ID: I20101105000721

Medical Identifiers

Medical identifiers for Blake C Mortenson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1427056860NPI-NPPES
118743100MedicaidWY
D4474MedicaidUT
806638500MedicaidID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 48375961205 (Utah)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Logan Regional HospitalLogan, UTHospital
Bear River Valley HospitalTremonton, UTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Intermountain Healthcare Services, Inc18502094203228

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. Blake C Mortenson allows following entities to bill medicare on his behalf.
Entity NameIhc Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079
Entity NameLogan Radiology Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212988
PECOS PAC ID: 5496669152
Enrollment ID: O20031117000669

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. Blake C 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 AddressPractice Location Address
Blake C Mortenson, MD
Po Box 1108,
Bountiful, UT 84011-1108

Ph: (801) 296-2113		Blake C Mortenson, MD
1400 N 500 E,
Logan, UT 84341-2455

Ph: (435) 716-1000

Reviews and Comments


Radiology Doctors in Logan, UT

Daniel J Parker, M.D.
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Practice Location: 1400 N. 500 E., Logan, UT 84341
Phone: 435-716-1000    Fax: 801-951-2389
C. Richard Hopkins, M.D.
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Practice Location: 1400 N 500 E, Logan, UT 84341
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Mark D Anderson, M.D.
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Practice Location: 1400 N 500 E, Logan, UT 84341
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Jeffrey Scott Job, M.D.
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Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 435-716-1000    
Dallin Val Christensen, DO
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Medicare: Medicare Enrolled
Practice Location: 1400 N 500 E, Logan, UT 84341
Phone: 801-296-2113    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.