Alison Mortensen

Pediatrics | Female

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Complete Profile:

Alison Mortensen basic information including her official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics
Provider Name :	Alison Mortensen
Gender :	Female

Business Address:

Alison Mortensen address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	200 E Chestnut St Bldg Ste 303 Louisville, KY, 40202-1831 United States
Phone Number :	502-629-5552
Fax Number :	502-629-3132

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1861819120
NPI Entity Type :	Individual
First Enrolment Date :	25 Mar, 2014
Last Updated On :	21 Sep, 2022

Medicare Participation:

Alison Mortensen participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	6103132261
Medicare Enrollment ID :	I20180920002279
Primary Specialty :	Pediatric Medicine
Medical School :	Brody School Of Medicine At East Carolina University
Graduation Year :	2014
Accepts Medicare?	Yes. Alison Mortensen accepts medicare insurance.

Group Practice Association:

Alison Mortensen is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Alison Mortensen is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Community Medical Associates Inc	7012811284	1001	825 Barret Ave Louisville, KY - 402041743 Ph: 5022725165	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Alison Mortensen are as mentioned. Primary taxonomy code for Alison Mortensen is 208000000X (Pediatrics).

Taxonomy Code	Speciality	Primary	License No.	State
208000000X	Pediatrics	Yes	51450	KY

Legacy Identifiers:

Other legacy medical identifiers of Alison Mortensen such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.

Identifier	Identifier Type	State	Issuer
300025162	MEDICAID	IN
7100360950	MEDICAID	KY
K272690	Other (non-Medicare)	KY	Medicare

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	Po Box 776351 Chicago, IL, 60677-6351 United States

Business Location:

Patients can refer following map for directions to Alison Mortensen practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.