Dr Kenneth Ortega, DO - Medicare Orthopaedic Surgery in Utica, NY

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Dr Kenneth Ortega, DO is a medicare enrolled "Orthopaedic Surgery" physician in Utica, New York. His current practice location is 1903 Sunset Ave, Utica, New York. You can reach out to his office (for appointments etc.) via phone at (315) 797-1212.

Dr Kenneth Ortega is licensed to practice in New York (license number 163383-3) 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 1083648224.

Contact Information

Dr Kenneth Ortega, DO
1903 Sunset Ave,
Utica, NY 13502-5617
(315) 797-1212
(315) 797-1537

Map and Direction




Physician's Profile

Full NameDr Kenneth Ortega
GenderMale
SpecialityOrthopaedic Surgery
Location1903 Sunset Ave, Utica, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083648224
  • Provider Enumeration Date: 07/11/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7416923578
  • Enrollment ID: I20101110000281

Medical Identifiers

Medical identifiers for Dr Kenneth Ortega such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083648224NPI-NPPES
00920934MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery 163383-3 (New York)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. Dr Kenneth Ortega allows following entities to bill medicare on his behalf.
Entity NameFaxton-st Lukes Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770690737
PECOS PAC ID: 2769380252
Enrollment ID: O20031222000433

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 Kenneth 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 Kenneth Ortega, DO
1903 Sunset Ave,
Utica, NY 13502-5617

Ph: (315) 797-1212		Dr Kenneth Ortega, DO
1903 Sunset Ave,
Utica, NY 13502-5617

Ph: (315) 797-1212

Reviews and Comments


Orthopaedic Surgery Doctors in Utica, NY

Jonathan David Wigderson, DO
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1903 Sunset Ave, Utica, NY 13502
Phone: 315-624-8150    Fax: 315-797-1537
Dr. Margaret R Albanese, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1903 Sunset Ave, Utica, NY 13502
Phone: 315-797-1212    Fax: 315-797-1537
Kenneth K. Kim, M.D.
Orthopedic Surgery
Medicare: Medicare Enrolled
Practice Location: 1656 Champlin Ave, Utica, NY 13502
Phone: 315-624-6000    
Dr. Leroy H Cooley, MD
Orthopedic Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 1903 Sunset Ave, Utica, NY 13502
Phone: 315-797-1212    Fax: 315-797-1537

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.