Dr Jonathan A Ortman, MD | |
403 E 1st St, Dixon, IL 61021 | |
(815) 285-5552 | |
(815) 285-5865 |
Full Name | Dr Jonathan A Ortman |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 37 Years |
Location | 403 E 1st St, Dixon, 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 |
---|---|---|---|
1649248204 | NPI | - | NPPES |
036077540 | Medicaid | IL | |
L53041 | Other | IL | MEDICARE PTAN |
800200 | Other | IL | MEDICARE GROUP PROVIDER NUMBER |
L10167 | Other | IL | MEDICARE PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 036-077540 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Katherine Shaw Bethea Hospital | Dixon, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Katherine Shaw Bethea Hospital | 2264480037 | 9 |
Ksb Medical Group Inc | 7911890009 | 74 |
Entity Name | Ksb Medical Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073592119 PECOS PAC ID: 7911890009 Enrollment ID: O20040203000860 |
Entity Name | Katherine Shaw Bethea Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427043546 PECOS PAC ID: 2264480037 Enrollment ID: O20081218000029 |
Mailing Address | Practice Location Address |
---|---|
Dr Jonathan A Ortman, MD 403 E 1st St, Dixon, IL 61021-3116 Ph: (815) 285-5552 | Dr Jonathan A Ortman, MD 403 E 1st St, Dixon, IL 61021 Ph: (815) 285-5552 |
Joyce Johnson, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 102 S Hennepin Ave, Dixon, IL 61021 Phone: 815-285-8520 Fax: 815-285-8903 | |
Brian D Johnson, FNP-BC Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 841 N Galena Ave, Suite 200, Dixon, IL 61021 Phone: 815-285-2273 Fax: 815-285-2276 | |
Mr. Jerry Wayne Catt Jr., Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5552 Fax: 815-285-5865 | |
Joann M Zarnke, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5552 Fax: 815-285-5865 | |
Chris A Herbert, FNP Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-288-5531 Fax: 815-285-5558 | |
Dr. Earel M. Belford, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 403 E 1st St, Dixon, IL 61021 Phone: 815-285-5552 Fax: 815-285-5865 |