Juan Antonio Ortiz, MD is a medicare enrolled "Surgery - Plastic And Reconstructive Surgery" physician in Wake Forest, North Carolina. His current practice location is
3319 Heritage Trade Dr Ste 201, Wake Forest, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(919) 532-2270.
Juan Antonio Ortiz is licensed to practice in North Carolina (license number 2011-00555) 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 1225100308.
Physician's Profile
| Full Name | Juan Antonio Ortiz |
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| Gender | Male |
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| Speciality | Surgery - Plastic And Reconstructive Surgery |
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| Location | 3319 Heritage Trade Dr Ste 201, Wake Forest, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1225100308
- Provider Enumeration Date: 11/14/2006
- Last Update Date: 05/28/2026
Medicare PECOS Information:
- PECOS PAC ID: 9638452717
- Enrollment ID: I20170215002616
Medical Identifiers
Medical identifiers for Juan Antonio Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225100308 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | 2011-00555 (North Carolina) | 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. Juan Antonio Ortiz 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 Address | Practice Location Address |
Juan Antonio Ortiz, MD 3319 Heritage Trade Dr Ste 201, Wake Forest, NC 27587-1002 Ph: (919) 532-2270 | Juan Antonio Ortiz, MD 3319 Heritage Trade Dr Ste 201, Wake Forest, NC 27587-1002 Ph: (919) 532-2270 |
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