Dr Otis Cosby Jr, MD is a
Preventive Medicine - Occupational Medicine physician based in Gastonia, North Carolina. Dr Otis Cosby Jr is licensed to practice in North Carolina (license number 2020-03013) and his current practice location is 2555 Court Dr Ste 120, Gastonia, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(704) 834-3070.
NPI number for Dr Otis Cosby Jr is 1720341191 and his current mailing address is Po Box 744786, Atlanta, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1720341191.
Physician's Profile
| Full Name | Dr Otis Cosby Jr |
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| Gender | Male |
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| Speciality | Preventive Medicine - Occupational Medicine |
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| Location | 2555 Court Dr Ste 120, Gastonia, North Carolina |
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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: 1720341191
- Provider Enumeration Date: 06/20/2012
- Last Update Date: 04/01/2022
Medical Identifiers
Medical identifiers for Dr Otis Cosby Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720341191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2083X0100X | Preventive Medicine - Occupational Medicine | MD021929 (Tennessee) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 36492 (South Carolina) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 2020-03013 (North Carolina) | 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. Dr Otis Cosby Jr 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 |
|---|
Dr Otis Cosby Jr, MD
Po Box 744786,
Atlanta, GA 30374-4786
Ph: (704) 834-2450 | Dr Otis Cosby Jr, MD
2555 Court Dr Ste 120,
Gastonia, NC 28054-2177
Ph: (704) 834-3070 |
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