Mrs Monica Joy Mortenson, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Blaine, Minnesota. Her current practice location is
11715 Jewel Ct Ne, Blaine, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 767-1843.
Mrs Monica Joy Mortenson is licensed to practice in Minnesota (license number 078542) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1750553699.
Provider's Profile
Full Name | Mrs Monica Joy Mortenson |
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Gender | Female |
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Speciality | Nurse Anesthetist, Certified Registered |
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Location | 11715 Jewel Ct Ne, Blaine, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750553699
- Provider Enumeration Date: 04/01/2008
- Last Update Date: 04/01/2008
Medicare PECOS Information:
- PECOS PAC ID: 7416325378
- Enrollment ID: I20221125000557
Medical Identifiers
Medical identifiers for Mrs Monica Joy Mortenson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750553699 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367500000X | Nurse Anesthetist, Certified Registered | 078542 (Minnesota) | 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. Mrs Monica Joy Mortenson allows following entities to bill medicare on her behalf.
Entity Name | Gillette Childrens Specialty Healthcare |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225119175 PECOS PAC ID: 0547169211 Enrollment ID: O20040503000485 |
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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. Mrs Monica Joy Mortenson 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 Monica Joy Mortenson, CRNA 11715 Jewel Ct Ne, Blaine, MN 55449-5876 Ph: (763) 767-1843 | Mrs Monica Joy Mortenson, CRNA 11715 Jewel Ct Ne, Blaine, MN 55449-5876 Ph: (763) 767-1843 |
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