Dr James John Otrembiak, MD is a
Pediatrics based in Southgate, Kentucky. Dr James John Otrembiak is licensed to practice in Kentucky (license number 22676) and his current practice location is
525 Alexandria Pike Ste 320, Southgate, Kentucky. He can be reached at his office (for appointments etc.) via phone at
(859) 781-1310.
NPI number for Dr James John Otrembiak is 1790839819 and his current mailing address is 525 Alexandria Pike Ste 320, Southgate, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790839819.
Provider's Profile
| Full Name | Dr James John Otrembiak |
|---|
| Gender | Male |
|---|
| Speciality | Pediatrics |
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| Location | 525 Alexandria Pike Ste 320, Southgate, Kentucky |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1790839819
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 07/06/2018
Medical Identifiers
Medical identifiers for Dr James John Otrembiak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790839819 | NPI | - | NPPES |
| 64226764 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | 22676 (Kentucky) | Primary |
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. Dr James John Otrembiak is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr James John Otrembiak, MD
525 Alexandria Pike Ste 320,
Southgate, KY 41071-3243
Ph: (859) 781-1310 | Dr James John Otrembiak, MD
525 Alexandria Pike Ste 320,
Southgate, KY 41071
Ph: (859) 781-1310 |
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