Gordon Troy Mork, OD is a medicare enrolled "Optometrist" provider in Mora, Minnesota. His current practice location is
301 Highway 65 S, Mora, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(320) 679-1212.
Gordon Troy Mork is licensed to practice in Minnesota (license number 2205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1487618112.
Healthcare Provider's Profile
| Full Name | Gordon Troy Mork |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 301 Highway 65 S, Mora, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487618112
- Provider Enumeration Date: 04/12/2006
- Last Update Date: 11/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 6800082694
- Enrollment ID: I20101118000966
Medical Identifiers
Medical identifiers for Gordon Troy Mork such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1487618112 | NPI | - | NPPES |
| 439223000 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2205 (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. Gordon Troy Mork allows following entities to bill medicare on his behalf.
| Provider Name | County Of Kanabec |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528031390
PECOS PAC ID: 0648187237
Enrollment ID: O20031125000660 |
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| Provider Name | Welia Health |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1528031390
PECOS PAC ID: 6709295496
Enrollment ID: O20220125001227 |
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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. Gordon Troy Mork 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 |
|---|
Gordon Troy Mork, OD
301 Highway 65 S,
Mora, MN 55051-1899
Ph: (320) 679-1212 | Gordon Troy Mork, OD
301 Highway 65 S,
Mora, MN 55051-1899
Ph: (320) 679-1212 |
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