Ms Mayumi Otsuka, MD in Gallup, NM

Ms Mayumi Otsuka, MD is a medicare enrolled "Pediatrics" physician in Gallup, New Mexico. Her current practice location is 516 East Nizhoni Blvd, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Ms Mayumi Otsuka is licensed to practice in Vermont (license number 0420010593) 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 1518954999.

Contact Information

	Ms Mayumi Otsuka, MD
	516 East Nizhoni Blvd, Gallup, NM 87301-1337
	(505) 722-1000
	(505) 722-1268

Map and Direction

Physician's Profile

Full Name	Ms Mayumi Otsuka
Gender	Female
Speciality	Pediatrics
Location	516 East Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518954999
Provider Enumeration Date: 09/30/2005
Last Update Date: 04/29/2016

Medicare PECOS Information:

PECOS PAC ID: 1052212511
Enrollment ID: I20040116000873

Medical Identifiers

Medical identifiers for Ms Mayumi Otsuka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518954999	NPI	-	NPPES
24559342	Medicaid	CO
811457	Medicaid	AZ
63139324	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0420010593 (Vermont)	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 Mayumi Otsuka allows following entities to bill medicare on her behalf.

Entity Name	Dhhs,phs,naihs, Gallup Indian Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225002322 PECOS PAC ID: 3173436409 Enrollment ID: O20031111000840

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 Mayumi Otsuka 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 Mayumi Otsuka, MD P.o. Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000	Ms Mayumi Otsuka, MD 516 East Nizhoni Blvd, Gallup, NM 87301-1337 Ph: (505) 722-1000

Reviews and Comments

Pediatrics Doctors in Gallup, NM

Dr. Carlos Manuel De Sanctis, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268
Ramona V. Anderson, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268
Dr. John Edward Ratmeyer, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268
Michelle Stam-maclaren, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2111 College Drive, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301 Phone: 505-863-1820
Janet M Li-tempest, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1268
Gary A Escudero, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301 Phone: 505-722-1000 Fax: 505-722-1397
Dr. Gayle Ann Harrison, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2111 College Dr, Gallup, NM 87301 Phone: 505-863-1820 Fax: 505-863-1898

Ms Mayumi Otsuka, MD - Medicare Pediatrics in Gallup, NM