Dr David D Mortensen, OD in Clinton, UT - Medicare Optometrist Provider

Dr David D Mortensen, OD is a medicare enrolled "Optometrist" provider in Clinton, Utah. His current practice location is 2028 W 2220 N, Clinton, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 779-0708.

Dr David D Mortensen is licensed to practice in Utah (license number 361378-9934) 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 1871590430.

Contact Information

	Dr David D Mortensen, OD
	2028 W 2220 N, Clinton, UT 84015-5744
	(801) 779-0708
	(385) 393-7875

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David D Mortensen
Gender	Male
Speciality	Optometrist
Location	2028 W 2220 N, Clinton, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1871590430
Provider Enumeration Date: 06/28/2005
Last Update Date: 10/24/2024

Medicare PECOS Information:

PECOS PAC ID: 0648175299
Enrollment ID: I20060128000034

Medical Identifiers

Medical identifiers for Dr David D Mortensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1871590430	NPI	-	NPPES
162686	Other	VA	ANTHEM BLUE CROSS
P00190241	Other	VA	PALMETTO RAILROAD MEDICAR
010118166	Medicaid	VA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0601800582 (Virginia)	Secondary
152W00000X	Optometrist	361378-9934 (Utah)	Primary
152W00000X	Optometrist	18003429 A & B (Indiana)	Secondary

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 David D Mortensen allows following entities to bill medicare on his behalf.

Provider Name	Promontory Vision Partners
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1013187822 PECOS PAC ID: 3375602790 Enrollment ID: O20081030000086

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 David D Mortensen 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 David D Mortensen, OD 2028 W 2220 N, Clinton, UT 84015-5744 Ph: (801) 779-0708	Dr David D Mortensen, OD 2028 W 2220 N, Clinton, UT 84015-5744 Ph: (801) 779-0708

Reviews and Comments

Optometrist in Clinton, UT

Promontory Vision Partners Optometrist Medicare: Medicare Enrolled Practice Location: 1448 N 2000 W, Suite 12, Clinton, UT 84015 Phone: 801-779-0708
National Vision Inc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1917 W 1800 N Ste D1, Clinton, UT 84015 Phone: 801-896-2952
Victoria Nielsen, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2028 W 2220 N, Clinton, UT 84015 Phone: 801-779-0708
Dr. Gene L Christensen, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1632 N 2000w, Clinton, UT 84015 Phone: 801-779-3806
Christensen Eyecare, Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1632 N 2000 W, Clinton, UT 84015 Phone: 801-779-3806 Fax: 801-779-3807
Dr. Clark Edward Fielden, O.D. Optometrist Medicare: May Accept Medicare Assignments Practice Location: 2028 W 2220 N, Clinton, UT 84015 Phone: 801-779-0708
Dr. Kendrick Lynn Garrett, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1917 W 1800 N Ste D1, Clinton, UT 84015 Phone: 801-896-2952

Dr David D Mortensen, OD - Medicare Optometrist in Clinton, UT