Jaime A Mort, FNP in Lancaster, CA - Medicare Nurse Practitioner

Jaime A Mort, FNP is a medicare enrolled "Nurse Practitioner - Family" in Lancaster, California. His current practice location is 43112 15th St W, Lancaster, California. You can reach out to his office (for appointments etc.) via phone at (661) 729-4487.

Jaime A Mort is licensed to practice in California (license number 95008554) 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 1609421007.

Contact Information

	Jaime A Mort, FNP
	43112 15th St W, Lancaster, CA 93534-6219
	(661) 729-4487
	Not Available

Map and Direction

Provider's Profile

Full Name	Jaime A Mort
Gender	Male
Speciality	Nurse Practitioner - Family
Location	43112 15th St W, Lancaster, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609421007
Provider Enumeration Date: 08/03/2019
Last Update Date: 09/26/2023

Medicare PECOS Information:

PECOS PAC ID: 0143699405
Enrollment ID: I20221207002961

Medical Identifiers

Medical identifiers for Jaime A Mort such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609421007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95008554 (California)	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. Jaime A Mort allows following entities to bill medicare on his behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678

Entity Name	Antelope Valley Emergency Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225054257 PECOS PAC ID: 7517851959 Enrollment ID: O20040209000520

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. Jaime A Mort 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
Jaime A Mort, FNP 1814 Morisan Ave, Palmdale, CA 93550-7324 Ph: (661) 233-1724	Jaime A Mort, FNP 43112 15th St W, Lancaster, CA 93534-6219 Ph: (661) 729-4487

Reviews and Comments

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Jaime A Mort, FNP - Medicare Nurse Practitioner in Lancaster, CA