MEDICARE: JORGE A ORTEGON MD PA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RR0500X	Rheumatology Physician	K6668	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	970007388	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0079MN	OTHER	TX	BCBS GROUP
2	119496	OTHER	TX	COMMERCIAL NETWORK
3	135925100	OTHER	TX	COMMERCIAL
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	8S0570	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1275724882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JORGE A ORTEGON MD PA

Provider Business Mailing Address
First Line	:	PO BOX 4647
Second Line	:
City	:	MCALLEN
State	:	TX
Zip	:	78502-4647
Country	:	US
Telephone Number	:	956-630-1225
Fax Number	:	956-630-1841

Provider Business Practice Location Address
First Line	:	2821 MICHAEL ANGELO
Second Line	:	SUITE 300
City	:	EDINBURG
State	:	TX
Zip	:	78539-1404
Country	:	US
Telephone Number	:	956-630-1225
Fax Number	:	956-630-1841

Authorized Official
Title or Position	:	BILLING MANAGER
Name	:	BETH PETERS
Credential	:
Telephone Number	:	956-630-4155

Provider Enumeration Date	:	08/08/2007
Last Update Date	:	02/24/2010

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Directions to “JORGE A ORTEGON MD PA ” Practice Location

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