Dr Marvin Harry Mortensen, DC is a
Chiropractor based in Brandon, Wisconsin. Dr Marvin Harry Mortensen is licensed to practice in Wisconsin (license number 2003012) and his current practice location is
162 E Main St, Mortensen Chiropractic Office, Brandon, Wisconsin. He can be reached at his office (for appointments etc.) via phone at
(920) 346-5286.
NPI number for Dr Marvin Harry Mortensen is 1215098249 and his current mailing address is Po Box 277, 162 E Main St, Brandon, Wisconsin. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1215098249.
Healthcare Provider's Profile
Full Name | Dr Marvin Harry Mortensen |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 162 E Main St, Brandon, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1215098249
- Provider Enumeration Date: 12/13/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Marvin Harry Mortensen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215098249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | 2003012 (Wisconsin) | 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. Dr Marvin Harry Mortensen 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 |
Dr Marvin Harry Mortensen, DC Po Box 277, 162 E Main St, Brandon, WI 53919 Ph: (920) 346-5286 | Dr Marvin Harry Mortensen, DC 162 E Main St, Mortensen Chiropractic Office, Brandon, WI 53919 Ph: (920) 346-5286 |
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