Dr Marichelle Montano Othman, MD is a medicare enrolled "Internal Medicine" physician in American Canyon, California. Her current practice location is
3431 Napa-vallejo Hwy, Suite A2, American Canyon, California. You can reach out to her office (for appointments etc.) via phone at
(707) 552-7421.
Dr Marichelle Montano Othman is licensed to practice in California (license number A052310) 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 1285771725.
Physician's Profile
Full Name | Dr Marichelle Montano Othman |
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Gender | Female |
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Speciality | Internal Medicine |
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Location | 3431 Napa-vallejo Hwy, American Canyon, California |
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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: 1285771725
- Provider Enumeration Date: 02/01/2007
- Last Update Date: 07/09/2007
Medicare PECOS Information:
- PECOS PAC ID: 3173576246
- Enrollment ID: I20050301000481
Medical Identifiers
Medical identifiers for Dr Marichelle Montano Othman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285771725 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | A052310 (California) | 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 Marichelle Montano Othman allows following entities to bill medicare on her behalf.
Entity Name | Veterans Home Of California |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1740434661 PECOS PAC ID: 5799683827 Enrollment ID: O20031226000251 |
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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 Marichelle Montano Othman 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 Marichelle Montano Othman, MD 3431 Napa-vallejo Hwy, Suite A2, American Canyon, CA 94503 Ph: (707) 552-7421 | Dr Marichelle Montano Othman, MD 3431 Napa-vallejo Hwy, Suite A2, American Canyon, CA 94503 Ph: (707) 552-7421 |
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