Lisa D Ortiz, MD is a medicare enrolled "Internal Medicine" physician in Sallisaw, Oklahoma. She went to Wayne State University School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Choctaw Nation Of Oklahoma and her current practice location is
301 J T Stites Blvd, Redbird Smith Health Center, Sallisaw, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(918) 775-9159.
Lisa D Ortiz is licensed to practice in Oklahoma (license number 25970) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275743684.
Physician's Profile
Full Name | Lisa D Ortiz |
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Gender | Female |
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Speciality | Internal Medicine |
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Experience | 20 Years |
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Location | 301 J T Stites Blvd, Sallisaw, Oklahoma |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Lisa D Ortiz attended and graduated from Wayne State University School Of Medicine in 2004
NPI Data:
- NPI Number: 1275743684
- Provider Enumeration Date: 05/23/2007
- Last Update Date: 04/23/2008
Medicare PECOS Information:
- PECOS PAC ID: 6406946946
- Enrollment ID: I20071220000196
Medical Identifiers
Medical identifiers for Lisa D Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275743684 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 25970 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Choctaw Nation Of Oklahoma | 1759294838 | 204 |
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. Lisa D Ortiz allows following entities to bill medicare on her behalf.
Entity Name | Choctaw Nation Of Oklahoma |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659347623 PECOS PAC ID: 1759294838 Enrollment ID: O20031106000326 |
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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. Lisa D 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 |
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 |
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