Callen S Mouritsen, is a
Physical Medicine & Rehabilitation physician based in Fergus Falls, Minnesota. Callen S Mouritsen is licensed to practice in Minnesota (license number 11934) and his current practice location is 1131 S Mabelle Ave, Fergus Falls, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(218) 998-1500.
NPI number for Callen S Mouritsen is 1013507615 and his current mailing address is 901 N Union Ave, Fergus Falls, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013507615.
Physician's Profile
| Full Name | Callen S Mouritsen |
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| Gender | Male |
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| Speciality | Physical Medicine & Rehabilitation |
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| Location | 1131 S Mabelle Ave, Fergus Falls, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1013507615
- Provider Enumeration Date: 01/19/2021
- Last Update Date: 01/19/2021
Medical Identifiers
Medical identifiers for Callen S Mouritsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013507615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208100000X | Physical Medicine & Rehabilitation | 11934 (Minnesota) | 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. Callen S Mouritsen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Callen S Mouritsen,
901 N Union Ave,
Fergus Falls, MN 56537-1212
Ph: () - | Callen S Mouritsen,
1131 S Mabelle Ave,
Fergus Falls, MN 56537-3723
Ph: (218) 998-1500 |
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