| David M Ortiz, MD | |
|
1515 W Fir, Portales, NM 88130 | |
| (505) 356-6695 | |
| (505) 356-5948 |
| Full Name | David M Ortiz |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Experience | 29 Years |
| Location | 1515 W Fir, Portales, New Mexico |
| 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 |
|---|---|---|---|
| 1801850151 | NPI | - | NPPES |
| 87250322 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 20030042 (New Mexico) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Moses H. Cone Memorial Hospital, The | Greensboro, NC | Hospital |
| Alamance Regional Medical Center | Burlington, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Moses Cone Physician Services, Inc | 4284782210 | 335 |
| Entity Name | Moses Cone Physician Services, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093953127 PECOS PAC ID: 4284782210 Enrollment ID: O20090501000202 |
| Mailing Address | Practice Location Address |
|---|---|
| David M Ortiz, MD Po Box 843, Portales, NM 88130 Ph: (505) 356-6695 | David M Ortiz, MD 1515 W Fir, Portales, NM 88130 Ph: (505) 356-6695 |
Jacqueline Acevedo Gonzalez, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1515 West Fir, Portales, NM 88130 Phone: 575-356-6695 Fax: 575-356-5948 | |
Dr. Leslie Allan Donaldson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 42121 Us 70, Portales, NM 88130 Phone: 505-356-6652 Fax: 505-359-6827 | |
Dr. Bhargav Chowdary Paleti, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1515 W Fir St, Portales, NM 88130 Phone: 575-356-6695 Fax: 575-356-5948 |