Concepcion Cabantac Ochotorena, MD is a medicare enrolled "General Practice" physician in Manchester, Connecticut. Her current practice location is
335 Broad St, Manchester, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 643-3200.
Concepcion Cabantac Ochotorena is licensed to practice in Connecticut (license number 035190) 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 1093883761.
Physician's Profile
Full Name | Concepcion Cabantac Ochotorena |
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Gender | Female |
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Speciality | General Practice |
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Location | 335 Broad St, Manchester, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1093883761
- Provider Enumeration Date: 12/01/2006
- Last Update Date: 03/02/2012
Medicare PECOS Information:
- PECOS PAC ID: 0345298626
- Enrollment ID: I20050104000740
Medical Identifiers
Medical identifiers for Concepcion Cabantac Ochotorena such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093883761 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 035190 (Connecticut) | 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. Concepcion Cabantac Ochotorena allows following entities to bill medicare on her behalf.
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245256247 PECOS PAC ID: 8022915677 Enrollment ID: O20040319000535 |
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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. Concepcion Cabantac Ochotorena 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 |
Concepcion Cabantac Ochotorena, MD 28 Bancroft Ln, South Windsor, CT 06074-2463 Ph: (231) 880-3894 | Concepcion Cabantac Ochotorena, MD 335 Broad St, Manchester, CT 06040-4036 Ph: (860) 643-3200 |
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