Mrs Ashley Faye Mort, PA-C is a medicare enrolled "Dermatology" physician in Fort Gratiot, Michigan. She went to Wayne State University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice S L Husain Hamzavi Md Pc and her current practice location is
2950 Keewahdin Rd, Fort Gratiot, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 455-1600.
Mrs Ashley Faye Mort is licensed to practice in Michigan (license number 5601007084) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1134521107.
Physician's Profile
Full Name | Mrs Ashley Faye Mort |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 10 Years |
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Location | 2950 Keewahdin Rd, Fort Gratiot, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Ashley Faye Mort attended and graduated from Wayne State University School Of Medicine in 2014
NPI Data:
- NPI Number: 1134521107
- Provider Enumeration Date: 09/22/2014
- Last Update Date: 10/26/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901028737
- Enrollment ID: I20141112000775
Medical Identifiers
Medical identifiers for Mrs Ashley Faye Mort such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134521107 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | 5601007084 (Michigan) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
S L Husain Hamzavi Md Pc | 7012976590 | 12 |
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. Mrs Ashley Faye Mort 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 |
Mrs Ashley Faye Mort, PA-C 43151 Dalcoma Dr Ste 4, Clinton Township, MI 48038-6306 Ph: (586) 286-8720 | Mrs Ashley Faye Mort, PA-C 2950 Keewahdin Rd, Fort Gratiot, MI 48059-3526 Ph: (810) 455-1600 |
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