Rebecca Mortimer, APRN is a medicare enrolled "Nurse Practitioner - Family" in Ave Maria, Florida. Her current practice location is
5174 Monza Ct, Ave Maria, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 443-8747.
Rebecca Mortimer is licensed to practice in Florida (license number 11001342) 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 1841835550.
Provider's Profile
| Full Name | Rebecca Mortimer |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 5174 Monza Ct, Ave Maria, Florida |
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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: 1841835550
- Provider Enumeration Date: 11/18/2019
- Last Update Date: 11/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 8022470194
- Enrollment ID: I20230822001432
Medical Identifiers
Medical identifiers for Rebecca Mortimer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841835550 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 11001342 (Florida) | 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. Rebecca Mortimer allows following entities to bill medicare on her behalf.
| Entity Name | 5 Star Mobile Medical Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659037562
PECOS PAC ID: 0244621910
Enrollment ID: O20220107000501 |
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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. Rebecca Mortimer 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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Rebecca Mortimer, APRN
5174 Monza Ct,
Ave Maria, FL 34142-5095
Ph: (786) 443-8747 | Rebecca Mortimer, APRN
5174 Monza Ct,
Ave Maria, FL 34142-5095
Ph: (786) 443-8747 |
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