Dr Diego Ortega, MD | |
1137 Pine St Apt 304, Philadelphia, PA 19107-6050 | |
(862) 216-8721 | |
Not Available |
Full Name | Dr Diego Ortega |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 15 Years |
Location | 1137 Pine St Apt 304, Philadelphia, Pennsylvania |
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 |
---|---|---|---|
1578793030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MT195986 (New Jersey) | Secondary |
208M00000X | Hospitalist | 25MA09109000 (New Jersey) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Virtua West Jersey Hospitals | Voorhees, NJ | Hospital |
Virtua Memorial Hospital Of Burlington County | Mount holly, NJ | Hospital |
Virtua Our Lady Of Lourdes Hospital | Camden, NJ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Virtua Medical Group, Pa | 9830222397 | 1260 |
Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
Entity Name | Virtua Medical Group, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649226515 PECOS PAC ID: 9830222397 Enrollment ID: O20100804000338 |
Mailing Address | Practice Location Address |
---|---|
Dr Diego Ortega, MD 301 Lippincott Dr Ste 410, Marlton, NJ 08053-4197 Ph: (856) 355-0340 | Dr Diego Ortega, MD 1137 Pine St Apt 304, Philadelphia, PA 19107-6050 Ph: (862) 216-8721 |
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