Bethany Grace Avila Otte, FNP-C in Beverly, MA

Bethany Grace Avila Otte, FNP-C is a medicare enrolled "Nurse Practitioner - Primary Care" in Beverly, Massachusetts. Her current practice location is 83 Herrick St Ste 1001, Beverly, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 922-2226.

Bethany Grace Avila Otte is licensed to practice in Massachusetts (license number RN2367980) 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 1194265744.

Contact Information

	Bethany Grace Avila Otte, FNP-C
	83 Herrick St Ste 1001, Beverly, MA 01915-2753
	(978) 922-2226
	Not Available

Map and Direction

Provider's Profile

Full Name	Bethany Grace Avila Otte
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	83 Herrick St Ste 1001, Beverly, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1194265744
Provider Enumeration Date: 03/01/2017
Last Update Date: 12/07/2022

Medicare PECOS Information:

PECOS PAC ID: 3577803816
Enrollment ID: I20221205000309

Medical Identifiers

Medical identifiers for Bethany Grace Avila Otte such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194265744	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	95104464 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	95006063 (California)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	RN2367980 (Massachusetts)	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. Bethany Grace Avila Otte allows following entities to bill medicare on her behalf.

Entity Name	North Shore Neurology & Emg Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982996039 PECOS PAC ID: 4183886609 Enrollment ID: O20120430000486

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. Bethany Grace Avila Otte 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
Bethany Grace Avila Otte, FNP-C 83 Herrick St Ste 1001, Beverly, MA 01915-2753 Ph: (978) 922-2226	Bethany Grace Avila Otte, FNP-C 83 Herrick St Ste 1001, Beverly, MA 01915-2753 Ph: (978) 922-2226

Reviews and Comments

Nurse Practitioner Nurses in Beverly, MA

Ms. Linda G Haynes, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Herrick St, The Lynch Building, Beverly, MA 01915 Phone: 978-921-2899 Fax: 978-921-2968
Dr. Judith Lorraine Webb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 62 West St, Beverly, MA 01915 Phone: 339-224-7862
Julie Connick, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Cummings Ctr, Suite 107w, Beverly, MA 01915 Phone: 978-927-1859 Fax: 978-774-1062
Mrs. Dallas M Walsh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Cummings Ctr, Suite 126q, Beverly, MA 01915 Phone: 978-524-8181
Ms. Luanne Marie Off, FNP, MSN, MPH, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Dodge Street, Minuteclinic, Beverly, MA 01915 Phone: 866-389-2727
Dr. Gina Pallanta, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Dodge St, Beverly, MA 01915 Phone: 978-922-2171
Anita Marie Ash, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 Herrick St Ste 101, Beverly, MA 01915 Phone: 978-927-4110

Bethany Grace Avila Otte, FNP-C - Medicare Nurse Practitioner in Beverly, MA