John Mortensen, OD is a medicare enrolled "Optometrist" provider in Nogales, Arizona. His current practice location is
204 W Mariposa Rd, Suite 24, Nogales, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 287-3233.
John Mortensen is licensed to practice in Arizona (license number 2118) 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 1982056552.
Healthcare Provider's Profile
| Full Name | John Mortensen |
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| Gender | Male |
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| Speciality | Optometrist |
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| Location | 204 W Mariposa Rd, Nogales, Arizona |
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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: 1982056552
- Provider Enumeration Date: 07/07/2016
- Last Update Date: 07/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 5294021028
- Enrollment ID: I20160903000009
Medical Identifiers
Medical identifiers for John Mortensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982056552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2118 (Arizona) | 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. John Mortensen allows following entities to bill medicare on his behalf.
| Provider Name | Nationwide Optometry P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326472945
PECOS PAC ID: 6901033075
Enrollment ID: O20131217000251 |
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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. John 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 |
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John Mortensen, OD
220 N Mckemy Ave,
Chandler, AZ 85226-2654
Ph: (480) 961-1865 | John Mortensen, OD
204 W Mariposa Rd, Suite 24,
Nogales, AZ 85621-1007
Ph: (520) 287-3233 |
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