| Mr Charles E Ortega, PAC, MPAS | |
|
16901 Dallas Pkwy Ste 206, Addison, TX 75001-5214 | |
| (214) 233-3094 | |
| (214) 241-1167 |
| Full Name | Mr Charles E Ortega |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 17 Years |
| Location | 16901 Dallas Pkwy Ste 206, Addison, Texas |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285844837 | NPI | - | NPPES |
| P19402 | Other | TX | MEDICAL LICENSE |
| PA02353 | Other | TX | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| 363A00000X | Physician Assistant | PA02353 (Texas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| North Dallas Medical Group Pllc | 0749705762 | 2 |
| Entity Name | Coral Medical Services, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952613465 PECOS PAC ID: 7618146010 Enrollment ID: O20110801000381 |
| Entity Name | 6060 Spine/joint PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1275194417 PECOS PAC ID: 9133654627 Enrollment ID: O20241120003101 |
| Entity Name | North Dallas Medical Group PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790005734 PECOS PAC ID: 0749705762 Enrollment ID: O20250422002676 |
| Entity Name | Ceo Telemed |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396626057 PECOS PAC ID: 6002303740 Enrollment ID: O20251015003929 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Charles E Ortega, PAC, MPAS 16901 Dallas Pkwy Ste 206, Addison, TX 75001-5214 Ph: (214) 233-3094 | Mr Charles E Ortega, PAC, MPAS 16901 Dallas Pkwy Ste 206, Addison, TX 75001-5214 Ph: (214) 233-3094 |
Mr. Ivan Miranda, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16479 Dallas Pkwy Ste 320, Addison, TX 75001 Phone: 469-484-4260 |
Mr. Mark William Glass, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17051 Dallas Pkwy Ste 400, Addison, TX 75001 Phone: 214-370-3535 Fax: 214-370-0004 |
Ms. Carla Michele Harris, MSSC PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 5080 Spectrum Dr, Suite 1200 West Tower, Addison, TX 75001 Phone: 972-720-7848 |
Michael G Omotola, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4135 Belt Line Rd Ste 124, Addison, TX 75001 Phone: 469-495-9126 Fax: 469-495-0726 |
Hannah Duong, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 16901 Dallas Pkwy Ste 208, Addison, TX 75001 Phone: 972-248-2020 |
Alexis Danshelle Pegues, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5040 Addison Cir Ste 400, Addison, TX 75001 Phone: 214-983-0303 |
Melissa Ann Johnston, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17051 Dallas Pkwy Ste 400, Addison, TX 75001 Phone: 214-370-3535 Fax: 214-370-0004 |