John Mortensen, OD is a medicare enrolled "Optometrist" provider in Nogales, Arizona. He graduated from medical school in 2016 and has 9 years of diverse experience with area of expertise as Optometry. He is a member of the group practice Nationwide Optometry P.c. and his current practice location is
204 W Mariposa Rd, Suite 24, Nogales, Arizona. You can reach out to his office (for appointments etc.) via phone at
(520) 287-3233.
John Mortensen is licensed to practice in Arizona (license number 2118) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1982056552.
Healthcare Provider's Profile
| Full Name | John Mortensen |
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| Gender | Male |
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| Speciality | Optometry |
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| Experience | 9 Years |
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| Location | 204 W Mariposa Rd, Nogales, Arizona |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- John Mortensen graduated from medical school in 2016
NPI Data:
- NPI Number: 1982056552
- Provider Enumeration Date: 07/07/2016
- Last Update Date: 07/07/2016
Medicare PECOS Information:
- PECOS PAC ID: 5294021028
- Enrollment ID: I20160903000009
Medical Identifiers
Medical identifiers for John Mortensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982056552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2118 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Nationwide Optometry P.c. | 6901033075 | 36 |
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. John Mortensen allows following entities to bill medicare on his behalf.
| Provider Name | Nationwide Optometry P.c. |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326472945
PECOS PAC ID: 6901033075
Enrollment ID: O20131217000251 |
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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. John 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 |
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John Mortensen, OD
220 N Mckemy Ave,
Chandler, AZ 85226-2654
Ph: (480) 961-1865 | John Mortensen, OD
204 W Mariposa Rd, Suite 24,
Nogales, AZ 85621-1007
Ph: (520) 287-3233 |
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