Ms Laudan T Kotoitubou, MBBS is a medicare enrolled "Emergency Medicine" physician in Pagopago, American Samoa. Her current practice location is
96799 Turner Drive, Pagopago, American Samoa. You can reach out to her office (for appointments etc.) via phone at
(684) 633-1222.
Ms Laudan T Kotoitubou is licensed to practice in American Samoa (license number 4111C) 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 1508512336.
Physician's Profile
Full Name | Ms Laudan T Kotoitubou |
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Gender | Female |
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Speciality | Emergency Medicine |
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Location | 96799 Turner Drive, Pagopago, American Samoa |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1508512336
- Provider Enumeration Date: 03/02/2022
- Last Update Date: 03/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 5799138335
- Enrollment ID: I20240130002521
Medical Identifiers
Medical identifiers for Ms Laudan T Kotoitubou such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508512336 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 4111C (American Samoa) | 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. Ms Laudan T Kotoitubou allows following entities to bill medicare on her behalf.
Entity Name | American Samoa Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043085681 PECOS PAC ID: 4385545870 Enrollment ID: O20240102002464 |
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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. Ms Laudan T Kotoitubou 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 |
Ms Laudan T Kotoitubou, MBBS Po Box Lbj, Pago Pago, AS 96799-0010 Ph: (684) 633-1222 | Ms Laudan T Kotoitubou, MBBS 96799 Turner Drive, Pagopago, AS 96799-0010 Ph: (684) 633-1222 |
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