Dr David D Mortensen, OD in Crown Point, IN - Medicare Optometrist Provider

Dr David D Mortensen, OD is a medicare enrolled "Optometrist" provider in Crown Point, Indiana. His current practice location is 1184 N. Main St, Crown Point, Indiana. You can reach out to his office (for appointments etc.) via phone at (219) 226-9571.

Dr David D Mortensen is licensed to practice in Indiana (license number 18003429 A & B) 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
	1184 N. Main St, Crown Point, IN 46307
	(219) 226-9571
	(219) 226-9547

Map and Direction

Healthcare Provider's Profile

Full Name	Dr David D Mortensen
Gender	Male
Speciality	Optometrist
Location	1184 N. Main St, Crown Point, Indiana
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: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0648175299
Enrollment ID: I20231206003888

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
P00190241	Other	VA	PALMETTO RAILROAD MEDICAR
162686	Other	VA	ANTHEM BLUE CROSS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
152W00000X	Optometrist	0601800582 (Virginia)	Secondary
152W00000X	Optometrist	18003429 A & B (Indiana)	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. Dr David D Mortensen allows following entities to bill medicare on his behalf.

Provider Name	Confederated Tribes Of The Goshute Reservation
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1750510277 PECOS PAC ID: 0042451650 Enrollment ID: O20130724000653

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 7408 Bracken Pkwy, Hobart, IN 46342-6879 Ph: (219) 942-1369	Dr David D Mortensen, OD 1184 N. Main St, Crown Point, IN 46307 Ph: (219) 226-9571

Reviews and Comments

Optometrist in Crown Point, IN

Bogart-smith Optometry Optometrist Medicare: Not Enrolled in Medicare Practice Location: 321 N Main St, Crown Point, IN 46307 Phone: 219-663-5960 Fax: 219-663-2398
Crown Point Eye Care Optometrist Medicare: Medicare Enrolled Practice Location: 10823 Broadway, Crown Point, IN 46307 Phone: 219-310-8032
Susan Houchin Od Pc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 10751 Randolph St, Crown Point, IN 46307 Phone: 219-226-9477 Fax: 219-226-9481
Midwest Eye Consultants #31 Optometrist Medicare: Not Enrolled in Medicare Practice Location: 321 N Main St, Crown Point, IN 46307 Phone: 219-663-5960 Fax: 219-663-2398
Dr. Ashley K Doolin, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10751 Randolph St, Crown Point, IN 46307 Phone: 219-226-9477 Fax: 219-226-9481
Jovan Alavanja, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 10823 Broadway, Crown Point, IN 46307 Phone: 219-310-8032 Fax: 219-789-9775
Specialty Eyecare Center Optometrist Medicare: Not Enrolled in Medicare Practice Location: 11420 Broadway, Crown Point, IN 46307 Phone: 219-662-0066 Fax: 219-662-0055

Dr David D Mortensen, OD - Medicare Optometrist in Crown Point, IN