Mario Remedios Ortiz, PHD; PHCNS-BC, FNP-C - Medicare Clinical Nurse Specialist 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 NameMario Remedios Ortiz
GenderMale
SpecialityClinical Nurse Specialist - Community Health/public Health
Location1700 Mishawaka Ave # Sac-130, South Bend, Indiana
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1265826226NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 71005395A (Indiana)Secondary
364SC1501XClinical 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 NameReach Medical Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831601533
PECOS PAC ID: 8123381993
Enrollment ID: O20180409000218
Entity NameThe Reach Project Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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
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Phone: 574-234-0061    Fax: 574-283-1209
Stacy L Mc Dowell, CNS
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Phone: 574-213-5699    
Jane P. Philips, RN, MS, OCN, CLT
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Ms. Tracy Lee Edwards, PMHNP
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Carla J Bailey,
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Practice Location: 415 E Madison St, South Bend, IN 46617
Phone: 574-849-7693    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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