Carlos David Ortega, MD | |
5140 N California Ave, Suite 780, Chicago, IL 60625-3645 | |
(773) 235-8887 | |
(773) 235-8882 |
Full Name | Carlos David Ortega |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 29 Years |
Location | 5140 N California Ave, Chicago, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972525269 | NPI | - | NPPES |
1629966 | Other | IL | BCBSIL NIESS |
K26864 | Other | IL | INDIVIDUAL MEDICARE ID |
1630046 | Other | IL | BSBSIL BSG |
036-100042 | Medicaid | IL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0102X | Surgery - Surgical Critical Care | 036100042 (Illinois) | Secondary |
208600000X | Surgery | 036100042 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mercy Health System Corp | Janesville, WI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mercy Health System Corporation | 7416860440 | 475 |
Entity Name | Mercy Health System Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
Mailing Address | Practice Location Address |
---|---|
Carlos David Ortega, MD 5140 N California Ave, Suite 780, Chicago, IL 60625-3645 Ph: (773) 235-8887 | Carlos David Ortega, MD 5140 N California Ave, Suite 780, Chicago, IL 60625-3645 Ph: (773) 235-8887 |
Raelene D Kennedy, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 810, Chicago, IL 60612 Phone: 312-942-5500 | |
Douglas Wiseman, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 7447 W Talcott Ave Ste 427, Chicago, IL 60631 Phone: 773-990-4024 | |
Dr. Bobiejo Ava Ferguson Bryan, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Adam Lam, MD Surgery Medicare: Medicare Enrolled Practice Location: 5841 S Maryland Ave # Mc6040, Chicago, IL 60637 Phone: 773-702-1000 Fax: 773-702-2140 | |
Kabeer Rajan Masih, MD Surgery Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 | |
Jay Prystowsky, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 680 N Lake Shore Dr, Suite 1000, Chicago, IL 60611 Phone: 312-695-9797 | |
Heron Rodriguez, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 675 N Saint Clair St, Northwestern Memorial Hospialt Galter 19-100, Chicago, IL 60611 Phone: 312-695-2714 |