Jennifer Otterbacher, is a medicare enrolled "Family Medicine" physician in Yellow Spgs, Ohio. Her current practice location is
888 Dayton St Ste 200, Yellow Spgs, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 767-7291.
Jennifer Otterbacher is licensed to practice in Ohio (license number 34.013646) 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 1184156358.
Physician's Profile
| Full Name | Jennifer Otterbacher |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 888 Dayton St Ste 200, Yellow Spgs, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184156358
- Provider Enumeration Date: 03/28/2017
- Last Update Date: 03/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 8426327636
- Enrollment ID: I20230314000521
Medical Identifiers
Medical identifiers for Jennifer Otterbacher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1184156358 | NPI | - | NPPES |
| 0407603 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 34.013646 (Ohio) | 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. Jennifer Otterbacher allows following entities to bill medicare on her behalf.
| Entity Name | Alliance Physicians Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437125572
PECOS PAC ID: 0840104360
Enrollment ID: O20031118000529 |
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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. Jennifer Otterbacher 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 |
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Jennifer Otterbacher,
888 Dayton St Ste 200,
Yellow Spgs, OH 45387-1777
Ph: (937) 767-7291 | Jennifer Otterbacher,
888 Dayton St Ste 200,
Yellow Spgs, OH 45387-1777
Ph: (937) 767-7291 |
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