Mario Remedios Ortiz, PHD; PHCNS-BC, FNP-C in South Bend, IN

Mario Remedios Ortiz, PHD; PHCNS-BC, FNP-C is a medicare enrolled "Clinical Nurse Specialist - Community Health/public Health" in South Bend, Indiana. His current practice location is 1700 Mishawaka Ave # Sac-130, Health & Wellness Center, Iu South Bend, South Bend, Indiana. You can reach out to his office (for appointments etc.) via phone at (574) 520-5557.

Mario Remedios Ortiz is licensed to practice in Indiana (license number 71005395A) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265826226.

Contact Information

	Mario Remedios Ortiz, PHD; PHCNS-BC, FNP-C
	1700 Mishawaka Ave # Sac-130, Health & Wellness Center, Iu South Bend, South Bend, IN 46615-1408
	(574) 520-5557
	(574) 520-5042

Map and Direction

Provider's Profile

Full Name	Mario Remedios Ortiz
Gender	Male
Speciality	Clinical Nurse Specialist - Community Health/public Health
Location	1700 Mishawaka Ave # Sac-130, South Bend, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265826226
Provider Enumeration Date: 03/26/2015
Last Update Date: 07/30/2015

Medicare PECOS Information:

PECOS PAC ID: 1153752779
Enrollment ID: I20200515000853

Medical Identifiers

Medical identifiers for Mario Remedios Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265826226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	71005395A (Indiana)	Secondary
364SC1501X	Clinical Nurse Specialist - Community Health/public Health	71005395A (Indiana)	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. Mario Remedios Ortiz allows following entities to bill medicare on his behalf.

Entity Name	Reach Medical Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831601533 PECOS PAC ID: 8123381993 Enrollment ID: O20180409000218

Entity Name	The Reach Project Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124648316 PECOS PAC ID: 4688090889 Enrollment ID: O20200819000296

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. Mario Remedios 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
Mario Remedios Ortiz, PHD; PHCNS-BC, FNP-C 1700 Mishawaka Ave # Sac-130, Health & Wellness Center, Iu South Bend, South Bend, IN 46615-1408 Ph: (574) 520-5557	Mario Remedios Ortiz, PHD; PHCNS-BC, FNP-C 1700 Mishawaka Ave # Sac-130, Health & Wellness Center, Iu South Bend, South Bend, IN 46615-1408 Ph: (574) 520-5557

Reviews and Comments

Clinical Nurse Specialist Nurses in South Bend, IN

Cynthia Susan Fodness, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 403 E Madison St, South Bend, IN 46617 Phone: 574-234-0061 Fax: 574-283-1209
Stacy L Mc Dowell, CNS Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 621 Memorial Dr Ste 312, South Bend, IN 46601 Phone: 574-647-5200 Fax: 574-647-5210
Ms. Patricia A. Mcquade, APRN MSN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 1604 Blue Heron Way, South Bend, IN 46628 Phone: 574-271-7843
Amy Hernandez, RN Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 52565 In 933, South Bend, IN 46637 Phone: 574-213-5699
Jane P. Philips, RN, MS, OCN, CLT Clinical Nurse Specialist Medicare: Not Enrolled in Medicare Practice Location: 615 N Michigan St, Rehabilitation Services, South Bend, IN 46601 Phone: 574-647-1068 Fax: 574-647-7074
Ms. Tracy Lee Edwards, PMHNP Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 220 W Colfax Ave Ste 400, South Bend, IN 46601 Phone: 574-546-1900
Carla J Bailey, Clinical Nurse Specialist Medicare: Accepting Medicare Assignments Practice Location: 415 E Madison St, South Bend, IN 46617 Phone: 574-849-7693

Mario Remedios Ortiz, PHD; PHCNS-BC, FNP-C - Medicare Clinical Nurse Specialist in South Bend, IN