Glenn O Mortensen, MD in Logan, UT - Medicare Family Medicine

Glenn O Mortensen, MD is a medicare enrolled "Family Medicine" physician in Logan, Utah. His current practice location is 1750 N 1000 E, Logan, Utah. You can reach out to his office (for appointments etc.) via phone at (435) 757-1516.

Glenn O Mortensen is licensed to practice in Utah (license number 1609171205) 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 1184634669.

Contact Information

	Glenn O Mortensen, MD
	1750 N 1000 E, Logan, UT 84341-1909
	(435) 757-1516
	Not Available

Physician's Profile

Full Name	Glenn O Mortensen
Gender	Male
Speciality	Family Medicine
Location	1750 N 1000 E, Logan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184634669
Provider Enumeration Date: 08/08/2006
Last Update Date: 02/19/2016

Medicare PECOS Information:

PECOS PAC ID: 8921020546
Enrollment ID: I20051224000002

Medical Identifiers

Medical identifiers for Glenn O Mortensen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184634669	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	1609171205 (Utah)	Primary

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. Glenn O 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
Glenn O Mortensen, MD 1750 N 1000 E, Logan, UT 84341-1909 Ph: (435) 757-1516	Glenn O Mortensen, MD 1750 N 1000 E, Logan, UT 84341-1909 Ph: (435) 757-1516

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Family Medicine Doctors in Logan, UT

Brant Wahlen Fonnesbeck, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 550 E 1400 N Ste K, Logan, UT 84341 Phone: 435-755-6061
Amanda E Stott, FNP-BC Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 N 500 E, Logan, UT 84341 Phone: 435-716-1260
Douglas R Hyldahl, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 412 N 200 E, Logan, UT 84321 Phone: 435-713-2800
David N N Casey, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 412 N. 200 E., Logan, UT 84321 Phone: 435-713-2710 Fax: 435-713-2747
Nathan H Call, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1652 S Main St, Logan, UT 84321 Phone: 435-752-6105
Dr. Matthew John Welter, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1219 N 400 E, Logan, UT 84341 Phone: 435-757-8943

Glenn O Mortensen, MD - Medicare Family Medicine in Logan, UT