| Lisa D Ortiz, MD | |
|
301 J T Stites Blvd, Redbird Smith Health Center, Sallisaw, OK 74955-9302 | |
| (918) 775-9159 | |
| (918) 775-6469 |
| Full Name | Lisa D Ortiz |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 21 Years |
| Location | 301 J T Stites Blvd, Sallisaw, Oklahoma |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275743684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 25970 (Oklahoma) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mays Housecall Home Health Of South East Ok, Llc | Idabel, OK | Home health agency |
| Encompass Health Home Health Of Southeast Oklahoma | Hugo, OK | Home health agency |
| Choctaw Nation Health Services Authority | Talihina, OK | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Choctaw Nation Of Oklahoma | 1759294838 | 254 |
| Entity Name | Choctaw Nation Of Oklahoma |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa D Ortiz, MD 1483 Deer Run Dr, Fort Gibson, OK 74434-9351 Ph: (918) 478-2267 | Lisa D Ortiz, MD 301 J T Stites Blvd, Redbird Smith Health Center, Sallisaw, OK 74955-9302 Ph: (918) 775-9159 |
Dr. Stephen Trey Bastible, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 301 S J T Stites St, Sallisaw, OK 74955 Phone: 918-774-1400 | |
Dr. John P Agent, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1015 E Choctaw Ave, Sallisaw, OK 74955 Phone: 918-774-0034 Fax: 918-774-0650 |