Destinie Angel Otero, LSAA is a
Case Manager/care Coordinator based in Albuquerque, New Mexico. Destinie Angel Otero is licensed to practice in New Mexico (license number ) and her current practice location is
801 Encino Pl Ne, Albuquerque, New Mexico. She can be reached at her office (for appointments etc.) via phone at
(505) 272-2573.
NPI number for Destinie Angel Otero is 1679142715 and her current mailing address is 801 Encino Pl Ne, Albuquerque, New Mexico. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679142715.
Healthcare Provider's Profile
Full Name | Destinie Angel Otero |
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Gender | Female |
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Speciality | Case Manager/care Coordinator |
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Location | 801 Encino Pl Ne, Albuquerque, New Mexico |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679142715
- Provider Enumeration Date: 06/23/2021
- Last Update Date: 09/22/2022
Medical Identifiers
Medical identifiers for Destinie Angel Otero such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679142715 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CSA0216631 (New Mexico) | Secondary |
171M00000X | Case Manager/care Coordinator | (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. Destinie Angel Otero is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Destinie Angel Otero, LSAA 801 Encino Pl Ne, Albuquerque, NM 87102-2612 Ph: (505) 818-3058 | Destinie Angel Otero, LSAA 801 Encino Pl Ne, Albuquerque, NM 87102-2612 Ph: (505) 272-2573 |
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