Look up the most recent NPI and PECOS records

Kurt W Mori

Radiology

Allopathic & Osteopathic Physicians

3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252

PECOS Enrollment

This provider is enrolled in PECOS as KURT MORI.

Based on the most recent information from CMS, provider Kurt W Mori is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 11:34 AM.

Profile Details

Provider ID
1821058157
Provider Type
Individual
Full Name
Mori, Kurt W
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/23/2006
Last Updated
8/22/2017

Contact Information

Practice Location

3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252

(904) 399-5550

(904) 346-4334

Mailing Location

3599 University Blvd S, Building 300, Jacksonville, FL 32216-4252

(904) 399-5550

(904) 346-4334

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License ME36779 Florida
Code 2085R0204X	Description Radiology Allopathic & Osteopathic Physicians	License ME36779 Florida

Provider Identifiers

ID	Description	Issuer
ID 047706100	Description Medicaid	Issuer Unlisted Florida
ID 00356243A	Description Medicaid	Issuer Unlisted Georgia
ID 15714	Description Other	Issuer BCBS Florida

Kurt W Mori

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Beardsley, Shannon L

Patel, Trishna Y

Buxton, Richard C

Pao, Duke G

Gordon, Patrick O

Oyola Torres, Eduardo

Gesner, Douglas E

Kobrin, Craig A

Howze, Bryan C

Luis-Jorge, Juan C.