Dr Samuel Selasie Mortoti, MBCHB - Medicare Cardiovascular Disease (cardiology) in Newport, AR

Dr Samuel Selasie Mortoti, MBCHB is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Newport, Arkansas. He graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Graham Hospital Association, Osf Multi-specialty Group and his current practice location is 2000 Mclain St, Suite H, Newport, Arkansas. You can reach out to his office (for appointments etc.) via phone at (870) 523-2404.

Dr Samuel Selasie Mortoti is licensed to practice in Arkansas (license number E-7981) 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 1154588762.

Contact Information

Dr Samuel Selasie Mortoti, MBCHB
2000 Mclain St, Suite H,
Newport, AR 72112-3661
(870) 523-2404
Not Available

Map and Direction




Physician's Profile

Full NameDr Samuel Selasie Mortoti
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience21 Years
Location2000 Mclain St, Newport, Arkansas
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 Samuel Selasie Mortoti graduated from medical school in 2003
  NPI Data:
  • NPI Number: 1154588762
  • Provider Enumeration Date: 05/21/2008
  • Last Update Date: 08/01/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 2264674076
  • Enrollment ID: I20181022002185

Medical Identifiers

Medical identifiers for Dr Samuel Selasie Mortoti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154588762NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease E-7981 (Arkansas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Saint Francis Medical CenterPeoria, ILHospital
Graham Hospital AssociationCanton, ILHospital
St Mary Medical CenterGalesburg, ILHospital
Osf Saint Lukes Medical CenterKewanee, ILHospital
Ottawa Regional Hospital Dba Osf Saint Elizabeth Mdl CtrOttawa, ILHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Graham Hospital Association276937502195
Osf Multi-specialty Group36788897891552

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 Samuel Selasie Mortoti allows following entities to bill medicare on his behalf.
Entity NameGraham Hospital Association
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780692087
PECOS PAC ID: 2769375021
Enrollment ID: O20040510000873
Entity NameOsf Multi-specialty Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922445527
PECOS PAC ID: 3678889789
Enrollment ID: O20150904000279

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 Samuel Selasie Mortoti 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 Samuel Selasie Mortoti, MBCHB
5412 Deerfield Dr,
Jonesboro, AR 72404-8467

Ph: (202) 290-4161
Dr Samuel Selasie Mortoti, MBCHB
2000 Mclain St, Suite H,
Newport, AR 72112-3661

Ph: (870) 523-2404

Reviews and Comments


Internal Medicine Doctors in Newport, AR

Mitchell Louis Keel, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 2200 Malcolm Ave, Newport, AR 72112
Phone: 870-512-2500    Fax: 870-512-2525
Dr. William C. Cobb, MD
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1117 Mclain St, Newport, AR 72112
Phone: 870-523-9400    Fax: 870-523-9002
Mr. Guilford M Dudley, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 1200 Mclain Street, Newport, AR 72112
Phone: 870-523-5272    Fax: 870-523-4292

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.