Mark Lavon Jorgensen, MS, PT is a medicare enrolled "Physical Therapist" provider in Paradise, Utah. His current practice location is
345 E 9500 S, Paradise, Utah. You can reach out to his office (for appointments etc.) via phone at
(435) 764-0710.
Mark Lavon Jorgensen is licensed to practice in Utah (license number 269867-2401) 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 1578826947.
Healthcare Provider's Profile
| Full Name | Mark Lavon Jorgensen |
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| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 345 E 9500 S, Paradise, Utah |
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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: 1578826947
- Provider Enumeration Date: 06/20/2012
- Last Update Date: 05/15/2015
Medicare PECOS Information:
- PECOS PAC ID: 2062660061
- Enrollment ID: I20220425001351
Medical Identifiers
Medical identifiers for Mark Lavon Jorgensen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578826947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 269867-2401 (Utah) | 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. Mark Lavon Jorgensen allows following entities to bill medicare on his behalf.
| Provider Name | Atlas Medical Alaska Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1376213207
PECOS PAC ID: 0345630463
Enrollment ID: O20211205000014 |
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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. Mark Lavon Jorgensen 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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Mark Lavon Jorgensen, MS, PT
345 E 9500 S,
Paradise, UT 84328-8903
Ph: (435) 764-0710 | Mark Lavon Jorgensen, MS, PT
345 E 9500 S,
Paradise, UT 84328-8903
Ph: (435) 764-0710 |
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