Dr Gordon L Mortensen, MD in Milwaukee, WI

Dr Gordon L Mortensen, MD is a medicare enrolled "Anesthesiology - Pain Medicine" physician in Milwaukee, Wisconsin. His current practice location is 2900 W Oklahoma Ave, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 649-6000.

Dr Gordon L Mortensen is licensed to practice in Wisconsin (license number 26157-020) 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 1407830862.

Contact Information

	Dr Gordon L Mortensen, MD
	2900 W Oklahoma Ave, Milwaukee, WI 53215-4330
	(414) 649-6000
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Gordon L Mortensen
Gender	Male
Speciality	Anesthesiology - Pain Medicine
Location	2900 W Oklahoma Ave, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1407830862
Provider Enumeration Date: 11/30/2005
Last Update Date: 11/24/2017

Medicare PECOS Information:

PECOS PAC ID: 7315842937
Enrollment ID: I20040429000138

Medical Identifiers

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

Identifier	Type	State	Issuer
1407830862	NPI	-	NPPES
30723700	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207L00000X	Anesthesiology	26157-020 (Wisconsin)	Secondary
207LP2900X	Anesthesiology - Pain Medicine	26157-020 (Wisconsin)	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. Dr Gordon L Mortensen allows following entities to bill medicare on his behalf.

Entity Name	Ascension Medical Group-southeast Wisconsin Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609881077 PECOS PAC ID: 8628980943 Enrollment ID: O20031104000421

Entity Name	Orthopedic Surgeons Of Wisconsin Sc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295769321 PECOS PAC ID: 5294727152 Enrollment ID: O20040331001176

Entity Name	Innovative Pain Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568682318 PECOS PAC ID: 6406952555 Enrollment ID: O20070507000088

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 Gordon L 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 Gordon L Mortensen, MD 225 S Executive Dr, Brookfield, WI 53005-4266 Ph: (262) 787-4026	Dr Gordon L Mortensen, MD 2900 W Oklahoma Ave, Milwaukee, WI 53215-4330 Ph: (414) 649-6000

Reviews and Comments

Anesthesiology Doctors in Milwaukee, WI

Dr. Jeffrey T Lyvers, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2900 W Oklahoma Ave, Milwaukee, WI 53215 Phone: 414-649-6000
Dr. Nosheen Hasan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 7235 W Appleton Ave, Sutie 102, Milwaukee, WI 53216 Phone: 414-444-8670 Fax: 414-444-8678
Dr. Quinn Hogan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 9200 W Wisconsin Ave, Department Of Anesthesiology, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522
Dr. Stephen R Thompson, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2025 E Newport Ave, Milwaukee, WI 53211 Phone: 414-961-3300
Dr. Christina D Diaz, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 9200 W Wisconsin Ave, Department Of Anesthesiology, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522
Dr. John V Selthafner, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-8700 Fax: 414-259-1522
Anne M Fagan, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 10200 W Innovation Dr, Milwaukee, WI 53226 Phone: 414-302-9196

Dr Gordon L Mortensen, MD - Medicare Anesthesiology in Milwaukee, WI