Lesley Nicoloff Otto, MD in Portland, OR - Medicare Obstetrics/gynecology

Lesley Nicoloff Otto, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Portland, Oregon. She went to University Of Minnesota Medical School and graduated in 1993 and has 31 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 9155 Sw Barnes Rd, Suite 634, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 297-4123.

Lesley Nicoloff Otto is licensed to practice in Oregon (license number MD18878) 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 1699729608.

Contact Information

	Lesley Nicoloff Otto, MD
	9155 Sw Barnes Rd, Suite 634, Portland, OR 97225-6625
	(503) 297-4123
	(509) 297-0344

Map and Direction

Physician's Profile

Full Name	Lesley Nicoloff Otto
Gender	Female
Speciality	Obstetrics/gynecology
Experience	31 Years
Location	9155 Sw Barnes Rd, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Lesley Nicoloff Otto attended and graduated from University Of Minnesota Medical School in 1993

NPI Data:

NPI Number: 1699729608
Provider Enumeration Date: 05/22/2006
Last Update Date: 04/27/2016

Medicare PECOS Information:

PECOS PAC ID: 4587694583
Enrollment ID: I20050819000036

Medical Identifiers

Medical identifiers for Lesley Nicoloff Otto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699729608	NPI	-	NPPES
073122	Medicaid	OR
MD18878	Other	OR	LICENSE
2038459	Medicaid	WA
1699729608	Medicaid	WA
931237109	Other	OR	TAX ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207VG0400X	Obstetrics & Gynecology - Gynecology	MD60636494 (Washington)	Secondary
207VF0040X	Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery	MD60636494 (Washington)	Secondary
207VF0040X	Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery	MD18878 (Oregon)	Primary
207VG0400X	Obstetrics & Gynecology - Gynecology	MD18878 (Oregon)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Oregon	0648183608	1344

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. Lesley Nicoloff Otto allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

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. Lesley Nicoloff Otto 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
Lesley Nicoloff Otto, MD 847 Ne19th, Suite 300, Portland, OR 97232 Ph: (503) 963-2801	Lesley Nicoloff Otto, MD 9155 Sw Barnes Rd, Suite 634, Portland, OR 97225-6625 Ph: (503) 297-4123

Reviews and Comments

Obstetrics & Gynecology Doctors in Portland, OR

Dr. Rachel L Gutfreund, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216 Phone: 503-261-4423 Fax: 503-261-4424
John Gilbert Buckmaster, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-4200
Darlene J Dodson, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9205 Sw Barnes Rd Fl 3, Portland, OR 97225 Phone: 503-216-3388
Antonio E Frias, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-418-4200 Fax: 503-494-4473
Sig-linda Jacobson, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 5006 Sw Martha St, Portland, OR 97221 Phone: 503-806-7854
Laila Raad Sillay, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225 Phone: 503-445-0590
Carolyn Marie Withee, DO Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 9135 Sw Barnes Rd Ste 761, Portland, OR 97225 Phone: 503-216-2602

Lesley Nicoloff Otto, MD - Medicare Obstetrics/gynecology in Portland, OR