Mortuma Jt Murry, DNP, PNP-AC-PC is a medicare enrolled "Nurse Practitioner - Acute Care" physician in Portland, Oregon. His current practice location is
3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(503) 418-5150.
Mortuma Jt Murry is licensed to practice in Oregon (license number 202110719NP-PP) 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 1831767441.
Physician's Profile
| Full Name | Mortuma Jt Murry |
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| Gender | Male |
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| Speciality | Nurse Practitioner - Acute Care |
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| Location | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1831767441
- Provider Enumeration Date: 06/11/2021
- Last Update Date: 10/14/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173921764
- Enrollment ID: I20211012003239
Medical Identifiers
Medical identifiers for Mortuma Jt Murry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831767441 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2080P0207X | Pediatrics - Pediatric Hematology-oncology | 201808002RN (Oregon) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 202110719NP-PP (Oregon) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 202110719NP-PP (Oregon) | 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. Mortuma Jt Murry allows following entities to bill medicare on his behalf.
| Entity Name | University Professional Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013 |
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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. Mortuma Jt Murry 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 |
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Mortuma Jt Murry, DNP, PNP-AC-PC
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
Ph: (503) 418-5150 | Mortuma Jt Murry, DNP, PNP-AC-PC
3181 Sw Sam Jackson Park Rd,
Portland, OR 97239-3011
Ph: (503) 418-5150 |
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