Dr Justin A Otis, DNP, APRN-CRNA - Medicare Nurse Anesthetist, Certified Registered in Jacksonville, FL

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Dr Justin A Otis, DNP, APRN-CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Jacksonville, Florida. His current practice location is 11723 Wells Creek Pkwy Apt 1217, Jacksonville, Florida. You can reach out to his office (for appointments etc.) via phone at (904) 240-2841.

Dr Justin A Otis is licensed to practice in Kentucky (license number 4012118) 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 1245911262.

Contact Information

Dr Justin A Otis, DNP, APRN-CRNA
11723 Wells Creek Pkwy Apt 1217,
Jacksonville, FL 32256-1981
(904) 240-2841
Not Available

Map and Direction




Provider's Profile

Full NameDr Justin A Otis
GenderMale
SpecialityNurse Anesthetist, Certified Registered
Location11723 Wells Creek Pkwy Apt 1217, Jacksonville, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1245911262
  • Provider Enumeration Date: 07/31/2023
  • Last Update Date: 01/25/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5496192254
  • Enrollment ID: I20240328001753

Medical Identifiers

Medical identifiers for Dr Justin A Otis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245911262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse RN9356204 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered 4012118 (Kentucky)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. Dr Justin A Otis allows following entities to bill medicare on his behalf.
Entity NameGreater Louisville Anesthesia Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326126681
PECOS PAC ID: 2264410661
Enrollment ID: O20040712001150

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 Justin A Otis 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 AddressPractice Location Address
Dr Justin A Otis, DNP, APRN-CRNA
2115 Judge Carden Blvd,
Crestwood, KY 40014-7805

Ph: (904) 240-2841		Dr Justin A Otis, DNP, APRN-CRNA
11723 Wells Creek Pkwy Apt 1217,
Jacksonville, FL 32256-1981

Ph: (904) 240-2841

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.