Lukas Wyatt Otteson, is a
Case Manager/care Coordinator based in Gilroy, California. Lukas Wyatt Otteson is licensed to practice in * (Not Available) (license number ) and his current practice location is
9015 Murray Ave Ste 100, Gilroy, California. He can be reached at his office (for appointments etc.) via phone at
(408) 842-7138.
NPI number for Lukas Wyatt Otteson is 1699428995 and his current mailing address is 7136 Eagle Ridge Dr, Gilroy, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1699428995.
Healthcare Provider's Profile
| Full Name | Lukas Wyatt Otteson |
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| Gender | Male |
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| Speciality | Case Manager/care Coordinator |
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| Location | 9015 Murray Ave Ste 100, Gilroy, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1699428995
- Provider Enumeration Date: 01/27/2022
- Last Update Date: 01/27/2022
Medical Identifiers
Medical identifiers for Lukas Wyatt Otteson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699428995 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | 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. Lukas Wyatt Otteson 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 |
|---|
Lukas Wyatt Otteson,
7136 Eagle Ridge Dr,
Gilroy, CA 95020-3046
Ph: (760) 759-3865 | Lukas Wyatt Otteson,
9015 Murray Ave Ste 100,
Gilroy, CA 95020-3675
Ph: (408) 842-7138 |
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