Callen S Mouritsen, is a medicare enrolled "Physical Medicine & Rehabilitation" physician in Fergus Falls, Minnesota. He graduated from medical school in 2020 and has 6 years of diverse experience with area of expertise as Physical Therapist In Private Practice. His current practice location is
1131 S Mabelle Ave, Fergus Falls, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 998-1500.
Callen S Mouritsen is licensed to practice in Minnesota (license number 11934) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1013507615.
Physician's Profile
| Full Name | Callen S Mouritsen |
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| Gender | Male |
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| Speciality | Physical Therapist In Private Practice |
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| Experience | 6 Years |
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| Location | 1131 S Mabelle Ave, Fergus Falls, Minnesota |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Callen S Mouritsen graduated from medical school in 2020
NPI Data:
- NPI Number: 1013507615
- Provider Enumeration Date: 01/19/2021
- Last Update Date: 01/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 4284106139
- Enrollment ID: I20260611003681
Medical Identifiers
Medical identifiers for Callen S Mouritsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1013507615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208100000X | Physical Medicine & Rehabilitation | 11934 (Minnesota) | 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. Callen S Mouritsen 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 |
Callen S Mouritsen, 901 N Union Ave, Fergus Falls, MN 56537-1212 Ph: () - | Callen S Mouritsen, 1131 S Mabelle Ave, Fergus Falls, MN 56537-3723 Ph: (218) 998-1500 |
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