Dr Leslie Jean Mortland, MD in Saint Cloud, MN

Dr Leslie Jean Mortland, MD is a medicare enrolled "Pediatrics" physician in Saint Cloud, Minnesota. Her current practice location is 1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric And Adolescent, Saint Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 654-3610.

Dr Leslie Jean Mortland is licensed to practice in Minnesota (license number 53414) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093859654.

Contact Information

	Dr Leslie Jean Mortland, MD
	1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric And Adolescent, Saint Cloud, MN 56303-5000
	(320) 654-3610
	(320) 654-3647

Map and Direction

Physician's Profile

Full Name	Dr Leslie Jean Mortland
Gender	Female
Speciality	Pediatrics
Location	1900 Centracare Cir # 1300, Saint Cloud, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093859654
Provider Enumeration Date: 02/16/2007
Last Update Date: 03/28/2023

Medicare PECOS Information:

PECOS PAC ID: 7810166147
Enrollment ID: I20161201000123

Medical Identifiers

Medical identifiers for Dr Leslie Jean Mortland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093859654	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	TRN9066 (Florida)	Secondary
208000000X	Pediatrics	49019 (Arizona)	Secondary
2080P0207X	Pediatrics - Pediatric Hematology-oncology	55982 (Wisconsin)	Secondary
208000000X	Pediatrics	53414 (Minnesota)	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 Leslie Jean Mortland allows following entities to bill medicare on her behalf.

Entity Name	Centracare Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293

Entity Name	Children's Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939

Entity Name	St Cloud Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043269798 PECOS PAC ID: 4880594779 Enrollment ID: O20110221000134

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 Leslie Jean Mortland 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 Leslie Jean Mortland, MD 1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric And Adolescent, Saint Cloud, MN 56303-5000 Ph: (320) 654-3610	Dr Leslie Jean Mortland, MD 1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric And Adolescent, Saint Cloud, MN 56303-5000 Ph: (320) 654-3610

Reviews and Comments

Pediatrics Doctors in Saint Cloud, MN

Matthew Molenaar, Pediatrics Medicare: Medicare Enrolled Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700
Richard Hart, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756
Nathan Charles Messbarger, Pediatrics Medicare: Medicare Enrolled Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700
Rosaleah Victorino Bernardo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700
Denise L Lenarz, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303 Phone: 320-654-3630 Fax: 320-654-3657
Elaina Lee, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 251 County Rd 120, Saint Cloud, MN 56303 Phone: 320-202-8949 Fax: 320-202-0756

Dr Leslie Jean Mortland, MD - Medicare Pediatrics in Saint Cloud, MN