Mrs Tina Marie Ottman-boykin, MSE LCSW LPC NCC is a
Social Worker - Clinical based in Plymouth, Wisconsin. Mrs Tina Marie Ottman-boykin is licensed to practice in Wisconsin (license number 2886123) and her current practice location is
2209 Eastern Ave, Plymouth, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(920) 892-7606.
NPI number for Mrs Tina Marie Ottman-boykin is 1760595300 and her current mailing address is 2209 Eastern Ave, Plymouth, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1760595300.
Healthcare Provider's Profile
Full Name | Mrs Tina Marie Ottman-boykin |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 2209 Eastern Ave, Plymouth, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1760595300
- Provider Enumeration Date: 08/17/2006
- Last Update Date: 05/09/2023
Medical Identifiers
Medical identifiers for Mrs Tina Marie Ottman-boykin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760595300 | NPI | - | NPPES |
138002 | Other | | CHAMPUS TRICARE |
39744000 | Medicaid | WI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 1568125 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 2886123 (Wisconsin) | 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. Mrs Tina Marie Ottman-boykin 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 |
Mrs Tina Marie Ottman-boykin, MSE LCSW LPC NCC 2209 Eastern Ave, Plymouth, WI 53073-4281 Ph: (920) 892-7606 | Mrs Tina Marie Ottman-boykin, MSE LCSW LPC NCC 2209 Eastern Ave, Plymouth, WI 53073-4281 Ph: (920) 892-7606 |
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