Candice E Ortiz, MD | |
1315 Hospital Dr, St Johnsbury, VT 05819-9210 | |
(802) 748-7567 | |
Not Available |
Full Name | Candice E Ortiz |
---|---|
Gender | Female |
Speciality | Diagnostic Radiology |
Experience | 31 Years |
Location | 1315 Hospital Dr, St Johnsbury, Vermont |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093814139 | NPI | - | NPPES |
0VN1813 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085U0001X | Radiology - Diagnostic Ultrasound | 042-0009723 (Vermont) | Secondary |
2085R0202X | Radiology - Diagnostic Radiology | 042-0009723 (Vermont) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Northeastern Vermont Regional Hospital | Saint johnsbury, VT | Hospital |
Copley Hospital | Morrisville, VT | Hospital |
Mary Hitchcock Memorial Hospital | Lebanon, NH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Vermont Radiologists | 9830287697 | 3 |
Entity Name | Vermont Radiologists |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801995204 PECOS PAC ID: 9830287697 Enrollment ID: O20071113000429 |
Mailing Address | Practice Location Address |
---|---|
Candice E Ortiz, MD Po Box 1849, Lewiston, ME 04241-1849 Ph: (877) 845-2926 | Candice E Ortiz, MD 1315 Hospital Dr, St Johnsbury, VT 05819-9210 Ph: (802) 748-7567 |
Hartley S Neel, MD Radiology Medicare: Medicare Enrolled Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-7567 | |
Richard R Bennum, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-7567 | |
Robert M Smith, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1315 Hospital Dr, St Johnsbury, VT 05819 Phone: 802-748-7567 |