Romilly Ortiz, PA is a medicare enrolled "Physician Assistant" in Canoncito, New Mexico. Her current practice location is
129 Medicine Horse Dr, Canoncito, New Mexico. You can reach out to her office (for appointments etc.) via phone at
(505) 908-2307.
Romilly Ortiz is licensed to practice in New Mexico (license number PA2017-0045) 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 1528586435.
Provider's Profile
| Full Name | Romilly Ortiz |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 129 Medicine Horse Dr, Canoncito, New Mexico |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1528586435
- Provider Enumeration Date: 08/31/2017
- Last Update Date: 10/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911263934
- Enrollment ID: I20171108000774
Medical Identifiers
Medical identifiers for Romilly Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1528586435 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | PA2017-0045 (New Mexico) | Primary |
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. Romilly 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 |
Romilly Ortiz, PA 800 Bradbury Dr Se Ste 116, Albuquerque, NM 87106-4310 Ph: (505) 272-1476 | Romilly Ortiz, PA 129 Medicine Horse Dr, Canoncito, NM 87026 Ph: (505) 908-2307 |
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