Dr John C Ottenbacher, MD is a medicare enrolled "Family Medicine" physician in Bowdle, South Dakota. His current practice location is
8001 West 5th Street, Bowdle, South Dakota. You can reach out to his office (for appointments etc.) via phone at
(605) 285-9832.
Dr John C Ottenbacher is licensed to practice in South Dakota (license number 1128) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1891865705.
Physician's Profile
Full Name | Dr John C Ottenbacher |
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Gender | Male |
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Speciality | Family Medicine |
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Location | 8001 West 5th Street, Bowdle, South Dakota |
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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: 1891865705
- Provider Enumeration Date: 11/08/2006
- Last Update Date: 09/15/2016
Medicare PECOS Information:
- PECOS PAC ID: 8921051723
- Enrollment ID: I20050221000710
Medical Identifiers
Medical identifiers for Dr John C Ottenbacher such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891865705 | NPI | - | NPPES |
9174905 | Other | SD | DAKOTACARE |
5604543 | Medicaid | SD | |
7684 | Other | SD | WELLMARK BC/BS OF SD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 1128 (South Dakota) | 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. Dr John C Ottenbacher allows following entities to bill medicare on his behalf.
Entity Name | Bowdle Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669418877 PECOS PAC ID: 9335056902 Enrollment ID: O20040325001225 |
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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. Dr John C Ottenbacher 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 |
Dr John C Ottenbacher, MD Po Box 157, Selby, SD 57472-0157 Ph: (605) 649-7366 | Dr John C Ottenbacher, MD 8001 West 5th Street, Bowdle, SD 57428 Ph: (605) 285-9832 |
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