Dr Jacob Roberto Ortiz, MD in Winston Salem, NC

Dr Jacob Roberto Ortiz, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Winston Salem, North Carolina. His current practice location is 3333 Silas Creek Pkwy, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 718-8383.

Dr Jacob Roberto Ortiz is licensed to practice in Virginia (license number 0101280647) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1215294749.

Contact Information

	Dr Jacob Roberto Ortiz, MD
	3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013
	(336) 718-8383
	(336) 718-9622

Map and Direction

Physician's Profile

Full Name	Dr Jacob Roberto Ortiz
Gender	Male
Speciality	Internal Medicine - Cardiovascular Disease
Location	3333 Silas Creek Pkwy, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215294749
Provider Enumeration Date: 04/22/2012
Last Update Date: 06/23/2024

Medicare PECOS Information:

PECOS PAC ID: 6507178563
Enrollment ID: I20240103000157

Medical Identifiers

Medical identifiers for Dr Jacob Roberto Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215294749	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0000X	Internal Medicine - Cardiovascular Disease	0101280647 (Virginia)	Primary
207RC0200X	Internal Medicine - Critical Care Medicine	2024-00383 (North Carolina)	Secondary
208M00000X	Hospitalist	2024-00383 (North Carolina)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jacob Roberto Ortiz allows following entities to bill medicare on his behalf.

Entity Name	Dlp Twin County Physician Practices Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962078527 PECOS PAC ID: 7214199512 Enrollment ID: O20120503000011

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jacob Roberto Ortiz is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Jacob Roberto Ortiz, MD 1215 Lee St # 800158, Charlottesville, VA 22908-0816 Ph: (434) 243-1000	Dr Jacob Roberto Ortiz, MD 3333 Silas Creek Pkwy, Winston Salem, NC 27103-3013 Ph: (336) 718-8383

Reviews and Comments

Internal Medicine Doctors in Winston Salem, NC

Shannon Mitchell St Clair, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Dr. Kamal Hanee Henderson, MD Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 186 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-277-2000 Fax: 336-277-2050
Dr. Michael Joseph Mccormack Jr., M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Randall Stephan Conrad, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-4305
Brooke Williams, DO Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-8383
Dr. Analicia Marie Alvarado, MD Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Dr. David Defeo, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 3001 Lyndhurst Ave, Winston Salem, NC 27103 Phone: 336-765-0383 Fax: 336-768-1737

Dr Jacob Roberto Ortiz, MD - Medicare Internal Medicine in Winston Salem, NC