Mrs Susan B Mortimer, LPN is a
Licensed Practical Nurse based in Clermont, Florida. Mrs Susan B Mortimer is licensed to practice in New York (license number 10-302801) and her current practice location is
783 W Osceola St, Clermont, Florida. She can be reached at her office (for appointments etc.) via phone at
(315) 516-0027.
NPI number for Mrs Susan B Mortimer is 1598067894 and her current mailing address is 783 W Osceola St, Clermont, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1598067894.
Provider's Profile
| Full Name | Mrs Susan B Mortimer |
|---|
| Gender | Female |
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| Speciality | Licensed Practical Nurse |
|---|
| Location | 783 W Osceola St, Clermont, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1598067894
- Provider Enumeration Date: 11/19/2010
- Last Update Date: 04/24/2015
Medical Identifiers
Medical identifiers for Mrs Susan B Mortimer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598067894 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 10-302801 (New York) | Primary |
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 Susan B Mortimer is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mrs Susan B Mortimer, LPN
783 W Osceola St,
Clermont, FL 34711-2127
Ph: (315) 516-0027 | Mrs Susan B Mortimer, LPN
783 W Osceola St,
Clermont, FL 34711
Ph: (315) 516-0027 |
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