Ronovan Lavaine Ottenbacher, MD in Fargo, ND

Ronovan Lavaine Ottenbacher, MD is a medicare enrolled "Internal Medicine" physician in Fargo, North Dakota. His current practice location is 1707 Gold Dr S Ste 101, 1707 Gold Dr S 101, Fargo, North Dakota. You can reach out to his office (for appointments etc.) via phone at (701) 280-2033.

Ronovan Lavaine Ottenbacher is licensed to practice in North Dakota (license number 13056) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1548516032.

Contact Information

	Ronovan Lavaine Ottenbacher, MD
	1707 Gold Dr S Ste 101, 1707 Gold Dr S 101, Fargo, ND 58103-6413
	(701) 280-2033
	(701) 232-5578

Map and Direction

Physician's Profile

Full Name	Ronovan Lavaine Ottenbacher
Gender	Male
Speciality	Internal Medicine
Location	1707 Gold Dr S Ste 101, Fargo, North Dakota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548516032
Provider Enumeration Date: 08/02/2012
Last Update Date: 10/21/2015

Medicare PECOS Information:

PECOS PAC ID: 9537473038
Enrollment ID: I20150728005050

Medical Identifiers

Medical identifiers for Ronovan Lavaine Ottenbacher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548516032	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	13056 (North Dakota)	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. Ronovan Lavaine Ottenbacher allows following entities to bill medicare on his behalf.

Entity Name	Internal Medicine Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144313743 PECOS PAC ID: 8527027879 Enrollment ID: O20041004000768

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. Ronovan Lavaine Ottenbacher 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
Ronovan Lavaine Ottenbacher, MD 1707 Gold Dr S Ste 101, Internal Medicine Associates, Ltd, Fargo, ND 58103-6413 Ph: (701) 280-2033	Ronovan Lavaine Ottenbacher, MD 1707 Gold Dr S Ste 101, 1707 Gold Dr S 101, Fargo, ND 58103-6413 Ph: (701) 280-2033

Reviews and Comments

Internal Medicine Doctors in Fargo, ND

Abdallah M Mansour, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8900
Derek Anderson, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 5225 23rd Ave S, Fargo, ND 58104 Phone: 701-234-5933
Gerald G Gross, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 4th St N, Fargo, ND 58102 Phone: 701-234-6161
Paul James Carson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-4811 Fax: 701-234-6979
Howard L Russell, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 820 N 4th St, Fargo, ND 58122 Phone: 701-234-6161 Fax: 701-234-3861
Dr. Emuejevoke Joseph Okoh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 701-234-2000
Dr. Patrick J Hughes, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 801 Broadway N, Fargo, ND 58102 Phone: 201-234-2000

Ronovan Lavaine Ottenbacher, MD - Medicare Internal Medicine in Fargo, ND