Jaclyn Lisa Otero, MD in Gainesville, FL

Jaclyn Lisa Otero, MD is a medicare enrolled "Pediatrics" physician in Gainesville, Florida. Her current practice location is 1600 Sw Archer Rd, Gainesville, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 273-6563.

Jaclyn Lisa Otero is licensed to practice in Florida (license number ME112268) 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 1992947238.

Contact Information

	Jaclyn Lisa Otero, MD
	1600 Sw Archer Rd, Gainesville, FL 32610-3003
	(352) 273-6563
	(352) 273-6250

Map and Direction

Physician's Profile

Full Name	Jaclyn Lisa Otero
Gender	Female
Speciality	Pediatrics
Location	1600 Sw Archer Rd, Gainesville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992947238
Provider Enumeration Date: 04/01/2009
Last Update Date: 08/16/2012

Medicare PECOS Information:

PECOS PAC ID: 2961665336
Enrollment ID: I20120522001083

Medical Identifiers

Medical identifiers for Jaclyn Lisa Otero such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992947238	NPI	-	NPPES
005941600	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	ME112268 (Florida)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Jaclyn Lisa Otero allows following entities to bill medicare on her behalf.

Entity Name	Florida Clinical Practice Association Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063463768 PECOS PAC ID: 0345146254 Enrollment ID: O20031211000099

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. Jaclyn Lisa Otero 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
Jaclyn Lisa Otero, MD Po Box 918025, Orlando, FL 32891-8025 Ph: (352) 273-6563	Jaclyn Lisa Otero, MD 1600 Sw Archer Rd, Gainesville, FL 32610-3003 Ph: (352) 273-6563

Reviews and Comments

Pediatrics Doctors in Gainesville, FL

Dr. Bahareh Ebadifar Keith, DO Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-0462 Fax: 352-273-6250
Jose Maria Cardenas Fimbres, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd Fl 32610, Gainesville, FL 32610 Phone: 915-803-1159
Stephen Smyth Beebe, MD FACP Pediatrics Medicare: Medicare Enrolled Practice Location: 6440 W Newberry Rd, #402, Gainesville, FL 32605 Phone: 352-333-5500 Fax: 352-333-5506
Kristin Alexandra Dayton, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9001
Neel Kamal Singh, Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-9011
Donald J Fillipps, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0451 Fax: 352-392-9802
Sarah Tatum Ritchie, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32601 Phone: 352-273-5400 Fax: 352-273-5260

Jaclyn Lisa Otero, MD - Medicare Pediatrics in Gainesville, FL