Lisa D Ortiz, MD | |
301 J T Stites Blvd, Redbird Smith Health Center, Sallisaw, OK 74955-9302 | |
(918) 775-9159 | |
(918) 775-6469 |
Full Name | Lisa D Ortiz |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Experience | 20 Years |
Location | 301 J T Stites Blvd, Sallisaw, Oklahoma |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1275743684 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 25970 (Oklahoma) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Encompass Health Home Health Of Southeast Oklahoma | Hugo, OK | Home health agency |
Choctaw Nation Health Services Authority | Talihina, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Choctaw Nation Of Oklahoma | 1759294838 | 217 |
Entity Name | Choctaw Nation Of Oklahoma |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
Mailing Address | Practice Location Address |
---|---|
Lisa D Ortiz, MD 1483 Deer Run Dr, Fort Gibson, OK 74434-9351 Ph: (918) 478-2267 | Lisa D Ortiz, MD 301 J T Stites Blvd, Redbird Smith Health Center, Sallisaw, OK 74955-9302 Ph: (918) 775-9159 |
Dr. Stephen Trey Bastible, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 301 S J T Stites St, Sallisaw, OK 74955 Phone: 918-774-1400 | |
Dr. John P Agent, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1015 E Choctaw Ave, Sallisaw, OK 74955 Phone: 918-774-0034 Fax: 918-774-0650 |