| Samuel Ortega, CRNA | |
|
701 W North Ave, Melrose Park, IL 60160-1612 | |
| (708) 681-3200 | |
| Not Available |
| Full Name | Samuel Ortega |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 9 Years |
| Location | 701 W North Ave, Melrose Park, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760909287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 041363873 (Illinois) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Loyola University Medical Center | Maywood, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Loyola University Medical Center | 3779488903 | 926 |
| Entity Name | Loyola University Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336159961 PECOS PAC ID: 3779488903 Enrollment ID: O20031202000027 |
| Entity Name | Gottlieb Midwest Anesthesiologists, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003832767 PECOS PAC ID: 8123929940 Enrollment ID: O20040115000619 |
| Entity Name | Midwest Anesthesia Partners Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255380184 PECOS PAC ID: 6204737596 Enrollment ID: O20040120000034 |
| Entity Name | Stat Anesthesia Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992754089 PECOS PAC ID: 8123031473 Enrollment ID: O20060824000282 |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Ortega, CRNA 6004 S Major Ave, Chicago, IL 60638-4510 Ph: (708) 699-4403 | Samuel Ortega, CRNA 701 W North Ave, Melrose Park, IL 60160-1612 Ph: (708) 681-3200 |
Tiffany Jean Vajda, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Andrew M Christ, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Arshnoor Aslam Qamaruddin, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Dana Marie Macaluso, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Andrew Reichard, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 701 W North Ave, Melrose Park, IL 60160 Phone: 708-681-3200 | |
Anoop Banathia, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2912 Marion Ave, Melrose Park, IL 60164 Phone: 847-260-5115 |