Mitchell Morta, is a medicare enrolled "Nurse Practitioner - Family" in King City, California. Her current practice location is
122 E San Antonio Dr, King City, California. You can reach out to her office (for appointments etc.) via phone at
(831) 385-5944.
Mitchell Morta is licensed to practice in California (license number 95003915) 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 1467812800.
Provider's Profile
| Full Name | Mitchell Morta |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 122 E San Antonio Dr, King City, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467812800
- Provider Enumeration Date: 02/27/2016
- Last Update Date: 01/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204109416
- Enrollment ID: I20170911002262
Medical Identifiers
Medical identifiers for Mitchell Morta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467812800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP60898385 (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95003915 (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. Mitchell Morta allows following entities to bill medicare on her behalf.
| Entity Name | Shasta Community Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114533171
PECOS PAC ID: 3870579816
Enrollment ID: O20040629000721 |
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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. Mitchell Morta 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 |
|---|
Mitchell Morta,
122 E San Antonio Dr,
King City, CA 93930-2518
Ph: (831) 385-5944 | Mitchell Morta,
122 E San Antonio Dr,
King City, CA 93930-2518
Ph: (831) 385-5944 |
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