| Luis E Ortiz, MD | |
|
680 Centre St, Brockton, MA 02302-3308 | |
| (508) 941-7000 | |
| Not Available |
| Full Name | Luis E Ortiz |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 38 Years |
| Location | 680 Centre St, Brockton, Massachusetts |
| 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 |
|---|---|---|---|
| 1063447415 | NPI | - | NPPES |
| 1200283 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 78720 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kingwood Medical Center | Kingwood, TX | Hospital |
| Hca Houston Healthcare Tomball | Tomball, TX | Hospital |
| Park Plaza Hospital | Houston, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Round Table Physicians Group Pllc | 0547682460 | 73 |
| Entity Name | Round Table Physicians Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023439114 PECOS PAC ID: 0547682460 Enrollment ID: O20200623002513 |
| Mailing Address | Practice Location Address |
|---|---|
| Luis E Ortiz, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000 | Luis E Ortiz, MD 680 Centre St, Brockton, MA 02302-3308 Ph: (508) 941-7000 |
Samantha A Siegel, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3000 | |
Dr. Stephen J Simon, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 | |
Dr. John Kyle Volpe, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7200 | |
Grant Wei, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Dept. Of Emergency Medicine, Brockton, MA 02302 Phone: 508-941-7400 | |
Jacob F. Kallenberg, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 235 N Pearl St, Brockton, MA 02301 Phone: 508-427-3075 | |
Daniel Werzanski, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 680 Centre St, Brockton, MA 02302 Phone: 508-941-7000 |