Scott Ireland Otallah, in Winston Salem, NC - Medicare Psychiatry & Neurology

Scott Ireland Otallah, is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Winston Salem, North Carolina. His current practice location is Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 716-2255.

Scott Ireland Otallah is licensed to practice in North Carolina (license number 2017-01481) 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 1427287994.

Contact Information

	Scott Ireland Otallah,
	Medical Center Blvd, Winston Salem, NC 27157-2256
	(336) 716-2255
	Not Available

Map and Direction

Physician's Profile

Full Name	Scott Ireland Otallah
Gender	Male
Speciality	Psychiatry & Neurology - Neurology
Location	Medical Center Blvd, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427287994
Provider Enumeration Date: 07/06/2009
Last Update Date: 08/29/2017

Medicare PECOS Information:

PECOS PAC ID: 4486882008
Enrollment ID: I20171009002191

Medical Identifiers

Medical identifiers for Scott Ireland Otallah such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427287994	NPI	-	NPPES
VVE342A	Other	VA	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	0101-255657 (Virginia)	Secondary
208000000X	Pediatrics	2009017502 (Missouri)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	2017-01481 (North Carolina)	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. Scott Ireland Otallah allows following entities to bill medicare on his behalf.

Entity Name	Wake Forest University Health Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003803032 PECOS PAC ID: 4486564952 Enrollment ID: O20031105000436

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. Scott Ireland Otallah 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
Scott Ireland Otallah, Medical Center Blvd, Winston-salem, NC 27157-0001 Ph: (336) 716-2255	Scott Ireland Otallah, Medical Center Blvd, Winston Salem, NC 27157-2256 Ph: (336) 716-2255

Reviews and Comments

Psychiatry & Neurology Doctors in Winston Salem, NC

William Tyler Cecil, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Department Of Psychiatry, 791 Jonestown Road, Winston Salem, NC 27103 Phone: 336-716-4551 Fax: 336-716-9642
Dr. James Dwight Mattox Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2990 Bethesda Pl, Suite 602 A, Winston Salem, NC 27103 Phone: 336-768-8281 Fax: 336-768-5685
Dr. Kenneth John Detrick, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 190 Kimel Park Dr, Winston Salem, NC 27103 Phone: 336-768-3296
Eugene Mindel, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255
Aarti Sarwal, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: Medical Center Blvd, Winston Salem, NC 27157 Phone: 336-716-2255 Fax: 716-336-9016
Scott Saucedo, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3333 Silas Creek Pkwy, Winston Salem, NC 27103 Phone: 336-718-7224 Fax: 336-718-7598
Nancy S Gaby, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 3000 Bethesda Place, Ste 101, Winston Salem, NC 27103 Phone: 336-765-9750 Fax: 336-765-9710

Scott Ireland Otallah, - Medicare Psychiatry & Neurology in Winston Salem, NC