Dr Kevin L Mortara, MD - Medicare Hematology/oncology in Green Bay, WI

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Dr Kevin L Mortara, MD is a medicare enrolled "Internal Medicine - Hematology & Oncology" physician in Green Bay, Wisconsin. He went to University Of Arizona College Of Medicine and graduated in 1996 and has 28 years of diverse experience with area of expertise as Hematology/oncology. He is a member of the group practice Oconto Hospital And Medical Center Inc, Bellin Memorial Hospital Inc and his current practice location is 1580 Commanche Ave, Green Bay, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 435-8326.

Dr Kevin L Mortara is licensed to practice in Wisconsin (license number 48997-20) 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 1033109210.

Contact Information

Dr Kevin L Mortara, MD
1580 Commanche Ave,
Green Bay, WI 54313-5751
(920) 435-8326
(920) 430-4659

Map and Direction




Physician's Profile

Full NameDr Kevin L Mortara
GenderMale
SpecialityHematology/oncology
Experience28 Years
Location1580 Commanche Ave, Green Bay, Wisconsin
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:
  • Dr Kevin L Mortara attended and graduated from University Of Arizona College Of Medicine in 1996
  NPI Data:
  • NPI Number: 1033109210
  • Provider Enumeration Date: 10/27/2005
  • Last Update Date: 06/12/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 5092728378
  • Enrollment ID: I20060803000500

Medical Identifiers

Medical identifiers for Dr Kevin L Mortara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033109210NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RH0003XInternal Medicine - Hematology & Oncology 48997-20 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Unity HospiceDe pere, WIHospice
Bellin Memorial HospitalGreen bay, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Oconto Hospital And Medical Center Inc2163461781193
Bellin Memorial Hospital Inc8820900749533

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 Kevin L Mortara allows following entities to bill medicare on his behalf.
Entity NameBellin Memorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609838473
PECOS PAC ID: 8820900749
Enrollment ID: O20031121000089
Entity NameOconto Hospital & Medical Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356373302
PECOS PAC ID: 2163461781
Enrollment ID: O20050713000836
Entity NameOconto Hospital & Medical Center Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1356373302
PECOS PAC ID: 2163461781
Enrollment ID: O20090521000321

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 Kevin L Mortara 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
Dr Kevin L Mortara, MD
1580 Commanche Ave,
Green Bay, WI 54313-5751

Ph: (920) 435-8326		Dr Kevin L Mortara, MD
1580 Commanche Ave,
Green Bay, WI 54313-5751

Ph: (920) 435-8326

Reviews and Comments


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Phone: 920-288-8100    Fax: 920-288-8152

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.