Blake C Mortenson, MD in Logan, UT - Medicare Diagnostic Radiology

Blake C Mortenson, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Logan, Utah. He went to University Of Utah School Of Medicine and graduated in 1992 and has 33 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Ihc Health Services Inc and his current practice location is 1400 N 500 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 716-1000.

Blake C Mortenson is licensed to practice in Utah (license number 48375961205) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1427056860.

Contact Information

	Blake C Mortenson, MD
	1400 N 500 E, Logan, UT 84341-2455
	(435) 716-1000
	Not Available

Map and Direction

Physician's Profile

Full Name	Blake C Mortenson
Gender	Male
Speciality	Diagnostic Radiology
Experience	33 Years
Location	1400 N 500 E, Logan, Utah
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Blake C Mortenson attended and graduated from University Of Utah School Of Medicine in 1992

NPI Data:

NPI Number: 1427056860
Provider Enumeration Date: 07/11/2005
Last Update Date: 04/20/2015

Medicare PECOS Information:

PECOS PAC ID: 4981508009
Enrollment ID: I20101105000721

Medical Identifiers

Medical identifiers for Blake C Mortenson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427056860	NPI	-	NPPES
118743100	Medicaid	WY
D4474	Medicaid	UT
806638500	Medicaid	ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	48375961205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Logan Regional Hospital	Logan, UT	Hospital
Bear River Valley Hospital	Tremonton, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ihc Health Services Inc	1850209420	3531

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. Blake C Mortenson allows following entities to bill medicare on his behalf.

Entity Name	Ihc Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629260880 PECOS PAC ID: 1850209420 Enrollment ID: O20031105000079

Entity Name	Logan Radiology Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212988 PECOS PAC ID: 5496669152 Enrollment ID: O20031117000669

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. Blake C Mortenson 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
Blake C Mortenson, MD Po Box 1108, Bountiful, UT 84011-1108 Ph: (801) 296-2113	Blake C Mortenson, MD 1400 N 500 E, Logan, UT 84341-2455 Ph: (435) 716-1000

Reviews and Comments

Radiology Doctors in Logan, UT

Parker Eugene Ludwig, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 800-399-6438
Daniel J Parker, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N. 500 E., Logan, UT 84341 Phone: 435-716-1000 Fax: 801-951-2389
C. Richard Hopkins, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000
Mark D Anderson, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000
Jeffrey Scott Job, M.D. Radiology Medicare: Medicare Enrolled Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 435-716-1000
Jason James Ginos, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1400 N 500 E, Logan, UT 84341 Phone: 800-399-6438

Blake C Mortenson, MD - Medicare Diagnostic Radiology in Logan, UT