Otis Lawrence, PA-C in Tacoma, WA - Medicare Physician Assistant

Otis Lawrence, PA-C is a medicare enrolled "Physician Assistant - Medical" in Tacoma, Washington. His current practice location is 608 E 62nd St, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (210) 793-0595.

Otis Lawrence is licensed to practice in Texas (license number ) 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 1134540909.

Contact Information

	Otis Lawrence, PA-C
	608 E 62nd St, Tacoma, WA 98404-1935
	(210) 793-0595
	Not Available

Map and Direction

Provider's Profile

Full Name	Otis Lawrence
Gender	Male
Speciality	Physician Assistant - Medical
Location	608 E 62nd St, Tacoma, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134540909
Provider Enumeration Date: 12/22/2013
Last Update Date: 12/22/2013

Medicare PECOS Information:

PECOS PAC ID: 3274905070
Enrollment ID: I20230203001080

Medical Identifiers

Medical identifiers for Otis Lawrence such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134540909	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(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. Otis Lawrence 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
Otis Lawrence, PA-C 608 E 62nd St, Tacoma, WA 98404-1935 Ph: (210) 793-0595	Otis Lawrence, PA-C 608 E 62nd St, Tacoma, WA 98404-1935 Ph: (210) 793-0595

Reviews and Comments

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Otis Lawrence, PA-C - Medicare Physician Assistant in Tacoma, WA