Benjamin Otiwu, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Buford, Georgia. His current practice location is
3965 Bradford Walk Trl, Buford, Georgia. You can reach out to his office (for appointments etc.) via phone at
(678) 488-1093.
Benjamin Otiwu is licensed to practice in Georgia (license number 148574) 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 1992486591.
Provider's Profile
| Full Name | Benjamin Otiwu |
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| Gender | Male |
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| Speciality | Nurse Anesthetist, Certified Registered |
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| Location | 3965 Bradford Walk Trl, Buford, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992486591
- Provider Enumeration Date: 07/26/2023
- Last Update Date: 05/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880130210
- Enrollment ID: I20240722004054
Medical Identifiers
Medical identifiers for Benjamin Otiwu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992486591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN283773 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 148574 (Georgia) | 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. Benjamin Otiwu allows following entities to bill medicare on his behalf.
| Entity Name | Emory Specialty Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447 |
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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. Benjamin Otiwu 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 |
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Benjamin Otiwu,
3965 Bradford Walk Trl,
Buford, GA 30519-7840
Ph: (678) 488-1093 | Benjamin Otiwu,
3965 Bradford Walk Trl,
Buford, GA 30519-7840
Ph: (678) 488-1093 |
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