Marcus Ortiz, CAA | |
1 Shircliff Way, Jacksonville, FL 32204-4748 | |
(904) 308-7300 | |
Not Available |
Full Name | Marcus Ortiz |
---|---|
Gender | Male |
Speciality | Anesthesiology Assistant |
Experience | 7 Years |
Location | 1 Shircliff Way, Jacksonville, Florida |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396255378 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | AA410 (Florida) | Secondary |
367H00000X | Anesthesiologist Assistant | 75000174A (Indiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Viera Hospital | Melbourne, FL | Hospital |
Holmes Regional Medical Center | Melbourne, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Brevard Physician Associates Pllc | 1850535048 | 199 |
Sheridan Healthcorp Inc | 3173429693 | 866 |
Orlando Anesthesia Consultants Pa | 6204729056 | 20 |
Entity Name | North Florida Anesthesia Consultants Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346236866 PECOS PAC ID: 7416869565 Enrollment ID: O20031105000664 |
Entity Name | Sheridan Healthcorp Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629781711 PECOS PAC ID: 3173429693 Enrollment ID: O20031208000355 |
Entity Name | Us Anesthesia Partners Of Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518910520 PECOS PAC ID: 0345143152 Enrollment ID: O20040129000594 |
Entity Name | Orlando Anesthesia Consultants Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184661696 PECOS PAC ID: 6204729056 Enrollment ID: O20040205000237 |
Entity Name | Brevard Physician Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619 |
Mailing Address | Practice Location Address |
---|---|
Marcus Ortiz, CAA 11763 Mandarin Forest Dr, Jacksonville, FL 32223-1792 Ph: () - | Marcus Ortiz, CAA 1 Shircliff Way, Jacksonville, FL 32204-4748 Ph: (904) 308-7300 |