| Dr Teodoro K Ortega, MD | |
|
5080 Bayou Blvd, Pensacola, FL 32503-2522 | |
| (850) 477-4074 | |
| (850) 476-9234 |
| Full Name | Dr Teodoro K Ortega |
|---|---|
| Gender | Male |
| Speciality | Plastic Surgery |
| Location | 5080 Bayou Blvd, Pensacola, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518945062 | NPI | - | NPPES |
| 17313 | Other | FL | BC/BS OF FL ID NUMBER |
| 590-02294 | Other | FL | BC/BS OF AL ID NUMBER |
| ME 22905 | Other | FL | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208200000X | Plastic Surgery | ME22905 (Florida) | Primary |
| Entity Name | Teodoro K. Ortega, M.d, P.a. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285612721 PECOS PAC ID: 5698801066 Enrollment ID: O20100325000299 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Teodoro K Ortega, MD 5080 Bayou Blvd, Pensacola, FL 32503-2522 Ph: (850) 477-4074 | Dr Teodoro K Ortega, MD 5080 Bayou Blvd, Pensacola, FL 32503-2522 Ph: (850) 477-4074 |
Dr. James D Frost, MD Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 8333 N Davis Hwy, West Florida Medical Center Clinic Pa, Pensacola, FL 32514 Phone: 850-474-8333 Fax: 850-969-2973 | |
Dr. Marcos R Ortega, M.D. Plastic Surgery Medicare: Accepting Medicare Assignments Practice Location: 5080 Bayou Blvd, Pensacola, FL 32503 Phone: 850-477-4074 Fax: 850-476-9234 | |
Dr. Benjamin Jacob Brown, MD Plastic Surgery Medicare: Not Enrolled in Medicare Practice Location: 600 E Government St, Pensacola, FL 32502 Phone: 850-500-7527 Fax: 850-855-4030 |