Sam L Mortimer, MD - Medicare Pediatrics in Rapid City, SD

Sam L Mortimer, MD is a medicare enrolled "Pediatrics" physician in Rapid City, South Dakota. His current practice location is 2905 5th St, Rapid City, South Dakota. You can reach out to his office (for appointments etc.) via phone at (605) 341-7337.

Sam L Mortimer is licensed to practice in South Dakota (license number 2119) 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 1033134135.

Contact Information

Sam L Mortimer, MD
2905 5th St,
Rapid City, SD 57701-7316
(605) 341-7337
(605) 341-2447



Physician's Profile

Full NameSam L Mortimer
GenderMale
SpecialityPediatrics
Location2905 5th St, Rapid City, South Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033134135
  • Provider Enumeration Date: 07/12/2006
  • Last Update Date: 01/31/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 8426065384
  • Enrollment ID: I20070827000581

Medical Identifiers

Medical identifiers for Sam L Mortimer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033134135NPI-NPPES
6700210MedicaidSD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 2119 (South Dakota)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. Sam L Mortimer allows following entities to bill medicare on his behalf.
Entity NameBlack Hills Pediatrics And Neonatology
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639229727
PECOS PAC ID: 4486617420
Enrollment ID: O20041110000461

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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. Sam L Mortimer 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
Sam L Mortimer, MD
2905 5th St,
Rapid City, SD 57701-7316

Ph: (605) 341-7337
Sam L Mortimer, MD
2905 5th St,
Rapid City, SD 57701-7316

Ph: (605) 341-7337

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Although their tax revenue has improved substantially since the worst of the recession, states continue to face severe fiscal challenges as they are called on to spend more because of the economic stress caused largely by continued high unemployment. Many states face increasing caseloads for Medicaid, the combined federal-state health program for the poor and disabled.

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Pediatrics Doctors in Rapid City, SD

Kimberly Hushagen, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2905 5th St, Rapid City, SD 57701
Phone: 605-341-7337    
Stephen M Kovarik, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2905 5th St, Rapid City, SD 57701
Phone: 605-341-7337    Fax: 605-341-2447
Rachel C Edelen, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 640 Flormann St, Rapid City, SD 57701
Phone: 605-718-3300    Fax: 605-718-3426
Gregory Anderson, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2905 5th St, Rapid City, SD 57701
Phone: 605-341-7337    Fax: 605-341-2447
Ms. Mary Sibert Fox, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 3200 Canyon Lake Dr, Rapid City, SD 57702
Phone: 605-355-2423    Fax: 605-355-2403
Dr. Alicia Palmer Hooten, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2905 5th St, Rapid City, SD 57701
Phone: 605-341-7337    

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