Kelly Lynn Ottaway, in Jackson, MI - Medicare Counselor Provider

Kelly Lynn Ottaway, is a medicare enrolled "Counselor - Professional" provider in Jackson, Michigan. Her current practice location is 207 1st St, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 998-4673.

Kelly Lynn Ottaway is licensed to practice in Michigan (license number 6401018105) 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 1154861581.

Contact Information

	Kelly Lynn Ottaway,
	207 1st St, Jackson, MI 49201-2102
	(517) 998-4673
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelly Lynn Ottaway
Gender	Female
Speciality	Counselor - Professional
Location	207 1st St, Jackson, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154861581
Provider Enumeration Date: 03/04/2017
Last Update Date: 10/16/2024

Medicare PECOS Information:

PECOS PAC ID: 4981055787
Enrollment ID: I20240105001700

Medical Identifiers

Medical identifiers for Kelly Lynn Ottaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154861581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401018105 (Michigan)	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. Kelly Lynn Ottaway allows following entities to bill medicare on her behalf.

Entity Name	A Healing Place Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275885881 PECOS PAC ID: 0547575029 Enrollment ID: O20150812007929

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. Kelly Lynn Ottaway 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
Kelly Lynn Ottaway, 407 W Harrison St, Wakarusa, IN 46573-9583 Ph: (226) 787-1217	Kelly Lynn Ottaway, 207 1st St, Jackson, MI 49201-2102 Ph: (517) 998-4673

Reviews and Comments

Counselor in Jackson, MI

Mrs. Juliana Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 437 Fern Ave, Jackson, MI 49202 Phone: 517-247-2033
Ms. Deborah Ann Mcdonald, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 W Michigan Ave, Jackson, MI 49201 Phone: 517-783-2732
Mrs. Rosemary Jordon Beals, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N West Ave, Jackson, MI 49202 Phone: 517-783-5334 Fax: 517-783-6064
Eric G Kelly, LLMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6692 Spring Arbor Rd, Jackson, MI 49201 Phone: 517-750-3869
Mr. Michael Lee Freytag, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1200 N West Ave, Suite 400, Jackson, MI 49202 Phone: 517-474-3793 Fax: 517-796-4561
Christian L Mccaslin, LPC, MA Counselor Medicare: Medicare Enrolled Practice Location: 1200 N West Ave, Suite 400, Jackson, MI 49202 Phone: 517-780-3336 Fax: 517-796-4561
Carlos Alfredo Larios, Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 1st St, Jackson, MI 49201 Phone: 517-998-4673 Fax: 517-998-0005

Kelly Lynn Ottaway, - Medicare Counselor in Jackson, MI