Jamie Michelle Ornelas, PT, DPT is a medicare enrolled "Physical Therapist" provider in Bellemont, Arizona. Her current practice location is
12211 Pegasus Rd, Bellemont, Arizona. You can reach out to her office (for appointments etc.) via phone at
(619) 804-6261.
Jamie Michelle Ornelas is licensed to practice in Arizona (license number 10711) 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 1205283173.
Healthcare Provider's Profile
| Full Name | Jamie Michelle Ornelas |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 12211 Pegasus Rd, Bellemont, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1205283173
- Provider Enumeration Date: 05/19/2016
- Last Update Date: 05/11/2022
Medicare PECOS Information:
- PECOS PAC ID: 7810326410
- Enrollment ID: I20200413004186
Medical Identifiers
Medical identifiers for Jamie Michelle Ornelas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1205283173 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | 10711 (Arizona) | 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. Jamie Michelle Ornelas allows following entities to bill medicare on her behalf.
| Provider Name | Mobile Physical Therapy Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1770110801
PECOS PAC ID: 1850720459
Enrollment ID: O20200402001463 |
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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. Jamie Michelle Ornelas 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 |
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Jamie Michelle Ornelas, PT, DPT
Po Box 30212,
Flagstaff, AZ 86003-0212
Ph: (619) 804-6261 | Jamie Michelle Ornelas, PT, DPT
12211 Pegasus Rd,
Bellemont, AZ 86015-5112
Ph: (619) 804-6261 |
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