| Madeline Ortiz, PA-C | |
|
521 W 181st St, Freeport, New York, NY 10033-5102 | |
| (347) 756-6000 | |
| Not Available |
| Full Name | Madeline Ortiz |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 521 W 181st St, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164856910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 016507-1 (New York) | Primary |
| Entity Name | 181st Street Medical PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922345768 PECOS PAC ID: 8022242130 Enrollment ID: O20131003000163 |
| Entity Name | Audubon Primary Care Medicine PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851736441 PECOS PAC ID: 5890920656 Enrollment ID: O20131101001033 |
| Mailing Address | Practice Location Address |
|---|---|
| Madeline Ortiz, PA-C 124 Smith St Apt 1e, Freeport, NY 11520-4466 Ph: (516) 497-3746 | Madeline Ortiz, PA-C 521 W 181st St, Freeport, New York, NY 10033-5102 Ph: (347) 756-6000 |
Mr. Martin Haynes Nicol Sr., PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 2367-69 2nd Ave, New York, NY 10035 Phone: 212-876-2300 Fax: 212-369-8209 |
Mrs. Rachel T. Freeman, RPA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 160 E 53rd St, 3rd Floor, New York, NY 10022 Phone: 212-610-0067 |
Geraldine Deguzman-javier, RPAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 16th St. And 1st Ave., New York, NY 10003 Phone: 212-420-2121 |
Allison C. Santhouse, RPA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 115 E 57th St, Suite 710, New York, NY 10022 Phone: 212-750-8900 Fax: 908-281-7796 |
Sarah E. Mccord, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 535 E 70th St, New York, NY 10021 Phone: 212-606-1585 Fax: 917-260-3185 |
Miss Sharona Deborah Kashimallak, RPA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 462 1st Ave, New York, NY 10016 Phone: 516-578-9951 |
Rena Dymersky, RPA-C, MS Physician Assistant Medicare: Medicare Enrolled Practice Location: 1 Gustave L Levy Pl, New York, NY 10029 Phone: 212-241-6500 |