Dr Daniel Mortensen, MD in Holland, MI - Medicare Emergency Medicine

Dr Daniel Mortensen, MD is a medicare enrolled "Emergency Medicine" physician in Holland, Michigan. He went to Michigan State University College Of Human Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Epi Pc and his current practice location is 602 Michigan Ave, Holland, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 392-5141.

Dr Daniel Mortensen is licensed to practice in Michigan (license number 4301105002) 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 1447660931.

Contact Information

	Dr Daniel Mortensen, MD
	602 Michigan Ave, Holland, MI 49423-4918
	(616) 392-5141
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Daniel Mortensen
Gender	Male
Speciality	Emergency Medicine
Experience	10 Years
Location	602 Michigan Ave, Holland, Michigan
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:

Dr Daniel Mortensen attended and graduated from Michigan State University College Of Human Medicine in 2014

NPI Data:

NPI Number: 1447660931
Provider Enumeration Date: 05/06/2014
Last Update Date: 02/02/2017

Medicare PECOS Information:

PECOS PAC ID: 7911223128
Enrollment ID: I20160915002030

Medical Identifiers

Medical identifiers for Dr Daniel Mortensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447660931	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	4301105002 (Michigan)	Primary
390200000X	Student In An Organized Health Care Education/training Program	4301105002 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Holland Community Hospital	Holland, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Epi Pc	0941293302	11

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. Dr Daniel Mortensen allows following entities to bill medicare on his behalf.

Entity Name	Holland Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780888099 PECOS PAC ID: 0446157291 Enrollment ID: O20031218000484

Entity Name	Epi Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225082266 PECOS PAC ID: 0941293302 Enrollment ID: O20040403000226

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 Daniel 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
Dr Daniel Mortensen, MD Po Box 1012, Newaygo, MI 49337-1012 Ph: (231) 652-2500	Dr Daniel Mortensen, MD 602 Michigan Ave, Holland, MI 49423-4918 Ph: (616) 392-5141

Reviews and Comments

Emergency Medicine Doctors in Holland, MI

Dr. William Carl Harris, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-394-3522
Tod Wyn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Hoover Blvd, Holland, MI 49423 Phone: 616-396-2972 Fax: 616-396-2808
Kerry Lynne Vegter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-394-3522
John David Nicely, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-394-3522
Sandip Ujamlal Kothari, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-394-3522
Scott Alan Loos, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-394-3522
Dr. Luke Harry Vanklompenberg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-975-1845

Dr Daniel Mortensen, MD - Medicare Emergency Medicine in Holland, MI