Courtney M Otto, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tucson, Arizona. Her current practice location is
504 W 29th St, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at
(520) 838-5600.
Courtney M Otto is licensed to practice in Arizona (license number LCSW-13750) 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 1568757375.
Healthcare Provider's Profile
| Full Name | Courtney M Otto |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 504 W 29th St, Tucson, 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: 1568757375
- Provider Enumeration Date: 06/09/2011
- Last Update Date: 12/17/2014
Medicare PECOS Information:
- PECOS PAC ID: 6002290723
- Enrollment ID: I20220830002348
Medical Identifiers
Medical identifiers for Courtney M Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568757375 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | LMSW-12840 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-13750 (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. Courtney M Otto allows following entities to bill medicare on her behalf.
| Entity Name | Pascua Yaqui Tribe |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477868396
PECOS PAC ID: 7618033598
Enrollment ID: O20220120000627 |
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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. Courtney M Otto 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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Courtney M Otto, LCSW
504 W 29th St,
Tucson, AZ 85713-3353
Ph: (520) 838-5600 | Courtney M Otto, LCSW
504 W 29th St,
Tucson, AZ 85713-3353
Ph: (520) 838-5600 |
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