Deofil Luzod Orteza, MD is a
Anesthesiology physician based in Princeton, Illinois. Deofil Luzod Orteza is licensed to practice in Illinois (license number 036054242) and his current practice location is 530 Park Ave E, Princeton, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 875-2811.
NPI number for Deofil Luzod Orteza is 1699790287 and his current mailing address is 530 Park Ave E, Princeton, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699790287.
Physician's Profile
| Full Name | Deofil Luzod Orteza |
|---|
| Gender | Male |
|---|
| Speciality | Anesthesiology |
|---|
| Location | 530 Park Ave E, Princeton, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699790287
- Provider Enumeration Date: 07/13/2006
- Last Update Date: 10/15/2020
Medical Identifiers
Medical identifiers for Deofil Luzod Orteza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699790287 | NPI | - | NPPES |
| 00600116 | Other | IL | BLUE CROSS BLUE SHIELD |
| 1023186517 | Other | | ORGANIZATION IDENTIFIER |
| 036054242 | Medicaid | IL | |
| L06500 | Other | IL | MEDCARE LEGACY # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 036054242 (Illinois) | 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. Deofil Luzod Orteza is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Deofil Luzod Orteza, MD 530 Park Ave E, Princeton, IL 61356 Ph: (815) 875-2811 | Deofil Luzod Orteza, MD 530 Park Ave E, Princeton, IL 61356 Ph: (815) 875-2811 |
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