Mr Salvador Ortiz Iii, APA-C in Fort Leonard Wood, MO

Mr Salvador Ortiz Iii, APA-C is a medicare enrolled "Physician Assistant" in Fort Leonard Wood, Missouri. His current practice location is 4430 Missouri Ave, Fort Leonard Wood, Missouri. You can reach out to his office (for appointments etc.) via phone at (573) 596-0039.

Mr Salvador Ortiz Iii is licensed to practice in Missouri (license number 2016037997) 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 1598884587.

Contact Information

	Mr Salvador Ortiz Iii, APA-C
	4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098
	(573) 596-0039
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Salvador Ortiz Iii
Gender	Male
Speciality	Physician Assistant
Location	4430 Missouri Ave, Fort Leonard Wood, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598884587
Provider Enumeration Date: 03/28/2007
Last Update Date: 07/10/2020

Medicare PECOS Information:

PECOS PAC ID: 4688065360
Enrollment ID: I20220107000595

Medical Identifiers

Medical identifiers for Mr Salvador Ortiz Iii such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598884587	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA05173 (Texas)	Secondary
363A00000X	Physician Assistant	2016037997 (Missouri)	Primary

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. Mr Salvador Ortiz Iii 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
Mr Salvador Ortiz Iii, APA-C 1225 Cooper St, Jefferson City, MO 65101-5007 Ph: (573) 774-0477	Mr Salvador Ortiz Iii, APA-C 4430 Missouri Ave, Fort Leonard Wood, MO 65473-9098 Ph: (573) 596-0039

Reviews and Comments

Physician Assistant Nurses in Fort Leonard Wood, MO

Mr. Jon-marc Thibodeau, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0035
Rickey Rodger Martin, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Charles Gang, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4430 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0417
Mr. Rexford Allan Plank Jr., PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Toben Lybarger, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Fort Leonard Wood, MO 65473 Phone: 573-596-0456
Michael Steven Godat, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524
Mark S Short, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 126 Missouri Ave, Mcxp-ccs-cr, Fort Leonard Wood, MO 65473 Phone: 573-596-0417 Fax: 573-596-0524

Mr Salvador Ortiz Iii, APA-C - Medicare Physician Assistant in Fort Leonard Wood, MO