Courtney Kotewa, in Cerritos, CA - Medicare Nurse Practitioner

Courtney Kotewa, is a medicare enrolled "Nurse Practitioner" in Cerritos, California. Her current practice location is 12900 Park Plaza Drive, Suite 150, Cerritos, California. You can reach out to her office (for appointments etc.) via phone at (989) 714-7861.

Courtney Kotewa is licensed to practice in Michigan (license number 4704270430) 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 1245823962.

Contact Information

	Courtney Kotewa,
	12900 Park Plaza Drive, Suite 150, Cerritos, CA 90703
	(989) 714-7861
	Not Available

Map and Direction

Provider's Profile

Full Name	Courtney Kotewa
Gender	Female
Speciality	Nurse Practitioner
Location	12900 Park Plaza Drive, Cerritos, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1245823962
Provider Enumeration Date: 02/13/2021
Last Update Date: 04/26/2023

Medicare PECOS Information:

PECOS PAC ID: 0143695742
Enrollment ID: I20230413000695

Medical Identifiers

Medical identifiers for Courtney Kotewa such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1245823962	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4704270430 (Michigan)	Secondary
363L00000X	Nurse Practitioner	4704270430 (Michigan)	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. Courtney Kotewa allows following entities to bill medicare on her behalf.

Entity Name	Carelon Medical Partners, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124443403 PECOS PAC ID: 9931332111 Enrollment ID: O20160902000482

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. Courtney Kotewa 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
Courtney Kotewa, 2552 Hall St Se, Grand Rapids, MI 49506-3568 Ph: (989) 714-7861	Courtney Kotewa, 12900 Park Plaza Drive, Suite 150, Cerritos, CA 90703 Ph: (989) 714-7861

Reviews and Comments

Nurse Practitioner Nurses in Cerritos, CA

Caryn Chin Chao, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703 Phone: 866-646-3553 Fax: 562-622-2803
Cynthia De Jarnett, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12900 Park Center Dr., #150, Cerritos, CA 90703 Phone: 866-646-3553 Fax: 562-622-3058
Dr. Ruth Judith Torres Contreras, DNP, FNP-BC, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703 Phone: 213-989-0700
Yooron Kim, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12900 Park Plaza Dr Ste 150, Cerritos, CA 90703 Phone: 562-622-2800 Fax: 562-741-4479
Prof. Elaine Ybarra, A.N. P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 17215 Studebaker Rd Ste 320, Suite #300, Cerritos, CA 90703 Phone: 562-860-8771 Fax: 562-207-6581
Dr. Stephanie A Patterson, DNP, MPA, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 21750 Ctr Ct Dr Ste 650, Cerritos, CA 90703 Phone: 877-259-4056
Iris Buan, DNP, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12900 Park Plaza Dr, Cerritos, CA 90703 Phone: 310-808-3410

Courtney Kotewa, - Medicare Nurse Practitioner in Cerritos, CA