Nikole R Otahal, PA-C in Corpus Christi, TX - Medicare Physician Assistant

Nikole R Otahal, PA-C is a medicare enrolled "Physician Assistant" in Corpus Christi, Texas. Her current practice location is 5917 Crosstown Expressway Sh 286, Corpus Christi, Texas. You can reach out to her office (for appointments etc.) via phone at (361) 854-0811.

Nikole R Otahal is licensed to practice in Texas (license number PA12349) 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 1063989689.

Contact Information

	Nikole R Otahal, PA-C
	5917 Crosstown Expressway Sh 286, Corpus Christi, TX 78417
	(361) 854-0811
	Not Available

Map and Direction

Provider's Profile

Full Name	Nikole R Otahal
Gender	Female
Speciality	Physician Assistant
Location	5917 Crosstown Expressway Sh 286, Corpus Christi, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063989689
Provider Enumeration Date: 11/01/2018
Last Update Date: 02/08/2023

Medicare PECOS Information:

PECOS PAC ID: 2961805668
Enrollment ID: I20210719001815

Medical Identifiers

Medical identifiers for Nikole R Otahal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063989689	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA12349 (Texas)	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. Nikole R Otahal 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
Nikole R Otahal, PA-C 230 County Road 3101, Orange Grove, TX 78372-9681 Ph: (210) 835-8451	Nikole R Otahal, PA-C 5917 Crosstown Expressway Sh 286, Corpus Christi, TX 78417 Ph: (361) 854-0811

Reviews and Comments

Physician Assistant Nurses in Corpus Christi, TX

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Nikole R Otahal, PA-C - Medicare Physician Assistant in Corpus Christi, TX