Mrs Charity Katio Otieno, in Jackson, MI - Medicare Nurse Practitioner

Mrs Charity Katio Otieno, is a medicare enrolled "Nurse Practitioner - Primary Care" in Jackson, Michigan. Her current practice location is 3333 Spring Arbor Rd, Jackson, Michigan. You can reach out to her office (for appointments etc.) via phone at (517) 205-1000.

Mrs Charity Katio Otieno is licensed to practice in Michigan (license number 4704267626) 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 1154985414.

Contact Information

	Mrs Charity Katio Otieno,
	3333 Spring Arbor Rd, Jackson, MI 49203-8605
	(517) 205-1000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Charity Katio Otieno
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	3333 Spring Arbor Rd, Jackson, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154985414
Provider Enumeration Date: 04/23/2019
Last Update Date: 01/30/2023

Medicare PECOS Information:

PECOS PAC ID: 0345616058
Enrollment ID: I20221021000376

Medical Identifiers

Medical identifiers for Mrs Charity Katio Otieno such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154985414	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	4204267626 (Michigan)	Secondary
363LA2200X	Nurse Practitioner - Adult Health	AG07190244 (Michigan)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	4704267626 (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. Mrs Charity Katio Otieno allows following entities to bill medicare on her behalf.

Entity Name	W.a. Foote Memorial Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629000708 PECOS PAC ID: 0244136067 Enrollment ID: O20040612000395

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20210405000855

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. Mrs Charity Katio Otieno 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
Mrs Charity Katio Otieno, 1 Ford Pl Ste 3a, Detroit, MI 48202-3450 Ph: (313) 874-4806	Mrs Charity Katio Otieno, 3333 Spring Arbor Rd, Jackson, MI 49203-8605 Ph: (517) 205-1000

Reviews and Comments

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Ms. Carol Ann Carney, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 142 N Mechanic St, Jackson, MI 49201 Phone: 517-879-1007 Fax: 888-828-8679
Mrs. Sandra Kay Raby, GNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 E Michigan Ave Ste 102, Jackson, MI 49201 Phone: 517-205-1731 Fax: 517-205-7649

Mrs Charity Katio Otieno, - Medicare Nurse Practitioner in Jackson, MI