Mark Anthony Ortega, LCSW - Medicare Clinical Social Worker in Albuquerque, NM

Mark Anthony Ortega, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Albuquerque, New Mexico. His current practice location is 2716 San Pedro Dr Ne Ste D, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 710-5188.

Mark Anthony Ortega is licensed to practice in New Mexico (license number C-09499) 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 1285953513.

Contact Information

Mark Anthony Ortega, LCSW
2716 San Pedro Dr Ne Ste D,
Albuquerque, NM 87110-3331
(505) 710-5188
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMark Anthony Ortega
GenderMale
SpecialitySocial Worker - Clinical
Location2716 San Pedro Dr Ne Ste D, Albuquerque, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285953513
  • Provider Enumeration Date: 05/26/2010
  • Last Update Date: 12/14/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 4789017583
  • Enrollment ID: I20191210000300

Medical Identifiers

Medical identifiers for Mark Anthony Ortega such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285953513NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C-09499 (New Mexico)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. Mark Anthony Ortega allows following entities to bill medicare on his behalf.
Entity NameGd Psych Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801379433
PECOS PAC ID: 6204260474
Enrollment ID: O20191220001167

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. Mark Anthony 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 AddressPractice Location Address
Mark Anthony Ortega, LCSW
2912 Thompson Ln Sw,
Albuquerque, NM 87105-4434

Ph: (505) 710-5188
Mark Anthony Ortega, LCSW
2716 San Pedro Dr Ne Ste D,
Albuquerque, NM 87110-3331

Ph: (505) 710-5188

Reviews and Comments


Social Worker in Albuquerque, NM

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.