Shannon Kay Mortensen, NP is a medicare enrolled "Nurse Practitioner" in Coeur D'alene, Idaho. Her current practice location is
2288 Merritt Creek Loop, Coeur D'alene, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 665-7546.
Shannon Kay Mortensen is licensed to practice in Idaho (license number N-31561) 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 1104919695.
Provider's Profile
| Full Name | Shannon Kay Mortensen |
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| Gender | Female |
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| Speciality | |
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| Experience | Years |
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| Location | 2288 Merritt Creek Loop, Coeur D'alene, Idaho |
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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. |
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Medical Education and Training:
- Shannon Kay Mortensen attended and graduated from in
NPI Data:
- NPI Number: 1104919695
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 02/05/2009
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Shannon Kay Mortensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1104919695 | NPI | - | NPPES |
| 806523200 | Medicaid | ID | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363L00000X | Nurse Practitioner | N-31561 (Idaho) | 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. Shannon Kay Mortensen 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 |
|---|
Shannon Kay Mortensen, NP
2288 Merritt Creek Loop,
Coeur D'alene, ID 83814
Ph: (208) 665-7546 | Shannon Kay Mortensen, NP
2288 Merritt Creek Loop,
Coeur D'alene, ID 83814
Ph: (208) 665-7546 |
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