Jessica R Otis, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Bath, New York. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Keuka Family Practice Associates Llp and her current practice location is
7573 State Route 54, Bath, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 776-2247.
Jessica R Otis is licensed to practice in New York (license number 347851) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1255004727.
Physician's Profile
| Full Name | Jessica R Otis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 7573 State Route 54, Bath, New York |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jessica R Otis graduated from medical school in 2021
NPI Data:
- NPI Number: 1255004727
- Provider Enumeration Date: 07/29/2021
- Last Update Date: 08/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183017148
- Enrollment ID: I20220215002258
Medical Identifiers
Medical identifiers for Jessica R Otis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255004727 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 347851 (New York) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 347851 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Keuka Family Practice Associates Llp | 9537191960 | 5 |
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. Jessica R Otis allows following entities to bill medicare on her behalf.
| Entity Name | Keuka Family Practice Associates Llp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962417352
PECOS PAC ID: 9537191960
Enrollment ID: O20050907000610 |
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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. Jessica R Otis 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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Jessica R Otis, FNP
7573 State Route 54,
Bath, NY 14810-9504
Ph: (607) 776-2247 | Jessica R Otis, FNP
7573 State Route 54,
Bath, NY 14810-9504
Ph: (607) 776-2247 |
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