Roy L Mortinsen, MD is a medicare enrolled "Emergency Medicine" physician in Vermillion, South Dakota. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1999 and has 25 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Sanford Health Network and his current practice location is
20 S Plum St, Vermillion, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 624-9111.
Roy L Mortinsen is licensed to practice in South Dakota (license number 5066) 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 1417954918.
Physician's Profile
| Full Name | Roy L Mortinsen |
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| Gender | Male |
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| Speciality | Emergency Medicine |
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| Experience | 25 Years |
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| Location | 20 S Plum St, Vermillion, South Dakota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Roy L Mortinsen attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1999
NPI Data:
- NPI Number: 1417954918
- Provider Enumeration Date: 06/30/2005
- Last Update Date: 03/25/2022
Medicare PECOS Information:
- PECOS PAC ID: 7618924663
- Enrollment ID: I20050401000764
Medical Identifiers
Medical identifiers for Roy L Mortinsen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417954918 | NPI | - | NPPES |
| 5611220 | Medicaid | SD | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 5066 (South Dakota) | Secondary |
| 207P00000X | Emergency Medicine | 5066 (South Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sanford Health Network | 6800707100 | 272 |
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. Roy L Mortinsen allows following entities to bill medicare on his behalf.
| Entity Name | Sanford Health Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790721280
PECOS PAC ID: 6800707100
Enrollment ID: O20031111000266 |
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| Entity Name | Sanford Health Network |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1790721280
PECOS PAC ID: 6800707100
Enrollment ID: O20040902001011 |
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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. Roy L Mortinsen 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 |
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Roy L Mortinsen, MD
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: (605) 328-4539 | Roy L Mortinsen, MD
20 S Plum St,
Vermillion, SD 57069-3346
Ph: (605) 624-9111 |
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