Dr Leslie Jean Mortland, MD - Medicare Pediatrics in Saint Cloud, MN

Dr Leslie Jean Mortland, MD is a medicare enrolled "Pediatrics" physician in Saint Cloud, Minnesota. Her current practice location is 1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric And Adolescent, Saint Cloud, Minnesota. You can reach out to her office (for appointments etc.) via phone at (320) 654-3610.

Dr Leslie Jean Mortland is licensed to practice in Minnesota (license number 53414) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1093859654.

Contact Information

Dr Leslie Jean Mortland, MD
1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric And Adolescent,
Saint Cloud, MN 56303-5000
(320) 654-3610
(320) 654-3647



Physician's Profile

Full NameDr Leslie Jean Mortland
GenderFemale
SpecialityPediatrics
Location1900 Centracare Cir # 1300, Saint Cloud, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1093859654
  • Provider Enumeration Date: 02/16/2007
  • Last Update Date: 03/28/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7810166147
  • Enrollment ID: I20161201000123

Medical Identifiers

Medical identifiers for Dr Leslie Jean Mortland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1093859654NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics TRN9066 (Florida)Secondary
208000000XPediatrics 49019 (Arizona)Secondary
2080P0207XPediatrics - Pediatric Hematology-oncology 55982 (Wisconsin)Secondary
208000000XPediatrics 53414 (Minnesota)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 Leslie Jean Mortland allows following entities to bill medicare on her behalf.
Entity NameCentracare Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043212665
PECOS PAC ID: 2466363395
Enrollment ID: O20031105000293

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Entity NameChildren's Health Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932208808
PECOS PAC ID: 2668370966
Enrollment ID: O20040406000939

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› Verified 4 days ago

Entity NameSt Cloud Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043269798
PECOS PAC ID: 4880594779
Enrollment ID: O20110221000134

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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. Dr Leslie Jean Mortland 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 AddressPractice Location Address
Dr Leslie Jean Mortland, MD
1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric And Adolescent,
Saint Cloud, MN 56303-5000

Ph: (320) 654-3610
Dr Leslie Jean Mortland, MD
1900 Centracare Cir # 1300, Centracare Clinic Health Plaza Pediatric And Adolescent,
Saint Cloud, MN 56303-5000

Ph: (320) 654-3610

News Archive

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› Verified 4 days ago


Pediatrics Doctors in Saint Cloud, MN

Matthew Molenaar,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1200 6th Ave N, Saint Cloud, MN 56303
Phone: 320-251-2700    
Richard Hart, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 251 County Rd 120, Saint Cloud, MN 56303
Phone: 320-202-8949    Fax: 320-202-0756
Nathan Charles Messbarger,
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303
Phone: 320-251-2700    
Rosaleah Victorino Bernardo, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303
Phone: 320-251-2700    
Denise L Lenarz, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 1900 Centracare Cir, Saint Cloud, MN 56303
Phone: 320-654-3630    Fax: 320-654-3657
Elaina Lee, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 251 County Rd 120, Saint Cloud, MN 56303
Phone: 320-202-8949    Fax: 320-202-0756

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