| Edward Brian Ortell, DO | |
|
1005 Pennsylvania Ave, Ottumwa, IA 52501-6413 | |
| (641) 684-2927 | |
| (641) 684-2926 |
| Full Name | Edward Brian Ortell |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 31 Years |
| Location | 1005 Pennsylvania Ave, Ottumwa, Iowa |
| 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 |
|---|---|---|---|
| 1346236940 | NPI | - | NPPES |
| 34520 | Other | IA | WELLMARK INC BCBS OF IA |
| 212484 | Other | IA | IA HEALTH SOLUTIONS |
| 420681060B5 | Other | IA | JOHN DEERE HEALTH |
| P00052611 | Other | IA | RAILROAD MEDICARE |
| H005 | Other | IA | TRIWEST |
| 1267864 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 3557 (Iowa) | Primary |
| 208C00000X | Colon & Rectal Surgery | 3557 (Iowa) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Jefferson County Health Center | Fairfield, IA | Hospital |
| Ottumwa Regional Health Center | Ottumwa, IA | Hospital |
| Mahaska Health Partnership | Oskaloosa, IA | Hospital |
| Washington County Hospital And Clinics | Washington, IA | Hospital |
| Pella Regional Health Center | Pella, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Jefferson County Hospital | 9335059575 | 48 |
| Entity Name | Jefferson County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881294536 PECOS PAC ID: 9335059575 Enrollment ID: O20031223000606 |
| Entity Name | Jefferson County Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1376648329 PECOS PAC ID: 9335059575 Enrollment ID: O20061104000156 |
| Entity Name | Ottumwa Health Group LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386956290 PECOS PAC ID: 3971629924 Enrollment ID: O20100927001257 |
| Mailing Address | Practice Location Address |
|---|---|
| Edward Brian Ortell, DO 1005 Pennsylvania Ave, Ottumwa, IA 52501-6413 Ph: (641) 684-2927 | Edward Brian Ortell, DO 1005 Pennsylvania Ave, Ottumwa, IA 52501-6413 Ph: (641) 684-2927 |