Orestes Roman Ortega, NURSE PRACTITIONER in Mesa, AZ

Orestes Roman Ortega, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Mesa, Arizona. His current practice location is 3130 E Baseline Rd Ste 105, Mesa, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 497-5933.

Orestes Roman Ortega is licensed to practice in Arizona (license number TEMP245660) 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 1689352767.

Contact Information

	Orestes Roman Ortega, NURSE PRACTITIONER
	3130 E Baseline Rd Ste 105, Mesa, AZ 85204-7290
	(480) 497-5933
	(480) 497-5934

Map and Direction

Provider's Profile

Full Name	Orestes Roman Ortega
Gender	Male
Speciality	Nurse Practitioner - Family
Location	3130 E Baseline Rd Ste 105, Mesa, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689352767
Provider Enumeration Date: 07/07/2023
Last Update Date: 07/26/2023

Medicare PECOS Information:

PECOS PAC ID: 0648631093
Enrollment ID: I20230801002808

Medical Identifiers

Medical identifiers for Orestes Roman Ortega such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689352767	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WH0200X	Registered Nurse - Home Health	245660 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	TEMP245660 (Arizona)	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. Orestes Roman Ortega allows following entities to bill medicare on his behalf.

Entity Name	Hope Diabetes Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104865757 PECOS PAC ID: 4183620487 Enrollment ID: O20170719003937

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. Orestes Roman Ortega 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
Orestes Roman Ortega, NURSE PRACTITIONER 2031 W Dixon St, Mesa, AZ 85201-4416 Ph: (602) 481-7286	Orestes Roman Ortega, NURSE PRACTITIONER 3130 E Baseline Rd Ste 105, Mesa, AZ 85204-7290 Ph: (480) 497-5933

Reviews and Comments

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Orestes Roman Ortega, NURSE PRACTITIONER - Medicare Nurse Practitioner in Mesa, AZ