Jonathan Chance Ortego, MD in Larkspur, CA - Medicare Student in an Organized Health Care Education/Training Program

Jonathan Chance Ortego, MD - Medicare Student in an Organized Health Care Education/Training Program in Larkspur, CA

Jonathan Chance Ortego, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Larkspur, California. His current practice location is 900 Larkspur Landing Cir Ste 160, Larkspur, California. You can reach out to his office (for appointments etc.) via phone at (707) 258-8757.

Jonathan Chance Ortego is licensed to practice in * (Not Available) (license number ) 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 1720540016.

Contact Information

	Jonathan Chance Ortego, MD
	900 Larkspur Landing Cir Ste 160, Larkspur, CA 94939-1766
	(707) 258-8757
	Not Available

Map and Direction

Physician's Profile

Full Name	Jonathan Chance Ortego
Gender	Male
Speciality	Student In An Organized Health Care Education/training Program
Location	900 Larkspur Landing Cir Ste 160, Larkspur, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1720540016
Provider Enumeration Date: 04/04/2019
Last Update Date: 04/09/2024

Medicare PECOS Information:

PECOS PAC ID: 2062740236
Enrollment ID: I20190826003143

Medical Identifiers

Medical identifiers for Jonathan Chance Ortego such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720540016	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	A194989 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	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. Jonathan Chance Ortego 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
Jonathan Chance Ortego, MD 900 Larkspur Landing Cir Ste 160, Larkspur, CA 94939-1766 Ph: (707) 258-8757	Jonathan Chance Ortego, MD 900 Larkspur Landing Cir Ste 160, Larkspur, CA 94939-1766 Ph: (707) 258-8757