Ms Courtney Anna Tage Mortensen, OTR/L, CHT is a medicare enrolled "Occupational Therapist" provider in Port Richey, Florida. Her current practice location is
6474 Ridge Rd, Port Richey, Florida. You can reach out to her office (for appointments etc.) via phone at
(727) 846-0547.
Ms Courtney Anna Tage Mortensen is licensed to practice in Florida (license number 14535) 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 1285923987.
Healthcare Provider's Profile
Full Name | Ms Courtney Anna Tage Mortensen |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 6474 Ridge Rd, Port Richey, Florida |
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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: 1285923987
- Provider Enumeration Date: 04/04/2011
- Last Update Date: 03/16/2021
Medicare PECOS Information:
- PECOS PAC ID: 1951785070
- Enrollment ID: I20220908001312
Medical Identifiers
Medical identifiers for Ms Courtney Anna Tage Mortensen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285923987 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 14535 (Florida) | 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. Ms Courtney Anna Tage Mortensen allows following entities to bill medicare on her behalf.
Provider Name | Sports And Orthopedic Rehabilitation Services Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1336539030 PECOS PAC ID: 0840104253 Enrollment ID: O20170728000765 |
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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. Ms Courtney Anna Tage 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 |
Ms Courtney Anna Tage Mortensen, OTR/L, CHT 2246 Beacon Point Blvd, Palm Harbor, FL 34683-3901 Ph: (770) 853-6373 | Ms Courtney Anna Tage Mortensen, OTR/L, CHT 6474 Ridge Rd, Port Richey, FL 34668-6748 Ph: (727) 846-0547 |
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