Brianne Marie Ortiz, NP in Corona, CA - Medicare Nurse Practitioner

Brianne Marie Ortiz, NP is a medicare enrolled "Nurse Practitioner - Family" in Corona, California. Her current practice location is 1843 Lexington Dr, Corona, California. You can reach out to her office (for appointments etc.) via phone at (951) 858-5616.

Brianne Marie Ortiz is licensed to practice in California (license number 95015051) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780293332.

Contact Information

	Brianne Marie Ortiz, NP
	1843 Lexington Dr, Corona, CA 92880-1283
	(951) 858-5616
	Not Available

Map and Direction

Provider's Profile

Full Name	Brianne Marie Ortiz
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1843 Lexington Dr, Corona, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780293332
Provider Enumeration Date: 07/29/2020
Last Update Date: 03/09/2022

Medicare PECOS Information:

PECOS PAC ID: 0547619603
Enrollment ID: I20240108005804

Medical Identifiers

Medical identifiers for Brianne Marie Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780293332	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95015051 (California)	Primary

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. Brianne Marie Ortiz allows following entities to bill medicare on her behalf.

Entity Name	Evergreen Spine And Pain Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760159198 PECOS PAC ID: 6507263688 Enrollment ID: O20210916003002

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. Brianne Marie 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
Brianne Marie Ortiz, NP 1843 Lexington Dr, Corona, CA 92878-3683 Ph: (951) 858-5616	Brianne Marie Ortiz, NP 1843 Lexington Dr, Corona, CA 92880-1283 Ph: (951) 858-5616

Reviews and Comments

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Brianne Marie Ortiz, NP - Medicare Nurse Practitioner in Corona, CA