Dr Jose Mario Ortega, MD - Medicare Pediatric Medicine in Kensington, MD

Dr Jose Mario Ortega, MD is a medicare enrolled "Pediatrics" physician in Kensington, Maryland. He graduated from medical school in 1994 and has 30 years of diverse experience with area of expertise as Pediatric Medicine. He is a member of the group practice Familys Urgent Care and his current practice location is 10901 Connecticut Ave, Ste. 100, Kensington, Maryland. You can reach out to his office (for appointments etc.) via phone at (240) 290-1041.

Dr Jose Mario Ortega is licensed to practice in Maryland (license number D54919) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1952376634.

Contact Information

Dr Jose Mario Ortega, MD
10901 Connecticut Ave, Ste. 100,
Kensington, MD 20895-1645
(240) 290-1041
(240) 290-1045

Map and Direction




Physician's Profile

Full NameDr Jose Mario Ortega
GenderMale
SpecialityPediatric Medicine
Experience30 Years
Location10901 Connecticut Ave, Kensington, Maryland
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jose Mario Ortega graduated from medical school in 1994
  NPI Data:
  • NPI Number: 1952376634
  • Provider Enumeration Date: 02/17/2006
  • Last Update Date: 02/17/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 3476894882
  • Enrollment ID: I20190412000952

Medical Identifiers

Medical identifiers for Dr Jose Mario Ortega such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1952376634NPI-NPPES
213221400MedicaidMD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics D54919 (Maryland)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Familys Urgent Care70122584292

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. Dr Jose Mario Ortega allows following entities to bill medicare on his behalf.
Entity NameFamilys Urgent Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619491735
PECOS PAC ID: 7012258429
Enrollment ID: O20190412000870

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. Dr Jose Mario 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
Dr Jose Mario Ortega, MD
10901 Connecticut Ave, Ste. 100,
Kensington, MD 20895-1645

Ph: (240) 290-1041
Dr Jose Mario Ortega, MD
10901 Connecticut Ave, Ste. 100,
Kensington, MD 20895-1645

Ph: (240) 290-1041

Reviews and Comments


Pediatrics Doctors in Kensington, MD

Dr. Kozue Leone, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895
Phone: 301-929-7100    Fax: 301-929-7114
Dr. William Harold Neches, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 5229 Strathmore Ave, Kensington, MD 20895
Phone: 240-475-4077    Fax: 240-303-2512
Bhavna Bali, MD.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10810 Connecticut Ave, Kensington, MD 20895
Phone: 301-821-7500    Fax: 661-250-5290
Dr. Kawaljeet K Chawla, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895
Phone: 301-929-7507    Fax: 301-929-7114
Elizabeth Anne Valois, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10810 Connecticut Ave, Kaiser Permanente Kensington Medical Center, Kensington, MD 20895
Phone: 301-929-3630    
Dr. Laura V Rusch, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 10810 Connecticut Ave, Kensington, MD 20895
Phone: 301-929-7100    Fax: 301-929-7027
Dr. Carolyn L Avery, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 10810 Connecticut Avenue, Kensington, MD 20895
Phone: 301-929-7100    Fax: 301-929-7114

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).

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