Emilio Cardona-ortiz, MD is a medicare enrolled "Family Medicine" physician in River Rouge, Michigan. His current practice location is
10248 W Jefferson Ave, River Rouge, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 841-7575.
Emilio Cardona-ortiz is licensed to practice in Michigan (license number 4301064038) 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 1265424816.
Physician's Profile
Full Name | Emilio Cardona-ortiz |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 10248 W Jefferson Ave, River Rouge, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265424816
- Provider Enumeration Date: 08/19/2005
- Last Update Date: 05/29/2014
Medicare PECOS Information:
- PECOS PAC ID: 9436288412
- Enrollment ID: I20100601000494
Medical Identifiers
Medical identifiers for Emilio Cardona-ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265424816 | NPI | - | NPPES |
3477807-10 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4301064038 (Michigan) | Primary |
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. Emilio Cardona-ortiz allows following entities to bill medicare on his behalf.
Entity Name | Park Family Health Care, P.c. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437161437 PECOS PAC ID: 9638077621 Enrollment ID: O20031231000344 |
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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. Emilio Cardona-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 |
Emilio Cardona-ortiz, MD 27774 Franklin Rd, Southfield, MI 48034-2352 Ph: (248) 356-5555 | Emilio Cardona-ortiz, MD 10248 W Jefferson Ave, River Rouge, MI 48218-1321 Ph: (313) 841-7575 |
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