Carl A Mortiz Jr Mbr - Medicare Primary Care in Boulder, CO

Carl A Mortiz Jr Mbr is a medicare enrolled primary clinic (Family Medicine) in Boulder, Colorado. The current practice location for Carl A Mortiz Jr Mbr is 2760 29th St., Suite 28, Boulder, Colorado. For appointments, you can reach them via phone at (303) 444-6400. The mailing address for Carl A Mortiz Jr Mbr is 2760 29th St., Suite 28, Boulder, Colorado and phone number is (303) 444-6400.

Carl A Mortiz Jr Mbr is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1164048161. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (303) 444-6400.

Contact Information

Carl A Mortiz Jr Mbr
2760 29th St.
Suite 28
Boulder
CO 80301
(303) 444-6400
(303) 444-6465

Map and Direction


Primary Care Clinic Profile

Full NameCarl A Mortiz Jr Mbr
SpecialityFamily Medicine
Location2760 29th St., Boulder, Colorado
Authorized Official Name and PositionCarl A. Moritz (PRACTICE OWNER)
Authorized Official Contact3034446400
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carl A Mortiz Jr Mbr
2760 29th St.
Suite 28
Boulder
CO 80301

Ph: (303) 444-6400
Carl A Mortiz Jr Mbr
2760 29th St.
Suite 28
Boulder
CO 80301

Ph: (303) 444-6400

NPI Details:

NPI Number1164048161
Provider Enumeration Date06/25/2020
Last Update Date08/16/2023

Medicare PECOS Information:

Medicare PECOS PAC ID1557716016
Medicare Enrollment IDO20231018002955

Medical Identifiers

Medical identifiers for Carl A Mortiz Jr Mbr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164048161NPI-NPPES
0126399MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Carl A Mortiz Jr Mbr acts as a billing entity for following providers:
Provider NameCarl Albert Moritz
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1538128434
PECOS PAC ID: 0143232520
Enrollment ID: I20060629000355

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.