Regina M Ottem, ANP in San Diego, CA - Medicare Nurse Practitioner

Regina M Ottem, ANP is a medicare enrolled "Nurse Practitioner - Adult Health" in San Diego, California. Her current practice location is 4311 3rd Ave, San Diego, California. You can reach out to her office (for appointments etc.) via phone at (619) 688-1600.

Regina M Ottem is licensed to practice in California (license number 12322) 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 1386794469.

Contact Information

	Regina M Ottem, ANP
	4311 3rd Ave, San Diego, CA 92103-1407
	(619) 688-1600
	Not Available

Map and Direction

Provider's Profile

Full Name	Regina M Ottem
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	4311 3rd Ave, San Diego, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1386794469
Provider Enumeration Date: 01/11/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1759551484
Enrollment ID: I20110907000903

Medical Identifiers

Medical identifiers for Regina M Ottem such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386794469	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	12322 (California)	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. Regina M Ottem allows following entities to bill medicare on her behalf.

Entity Name	Orohealth Corporation A Non Profit Healthcare System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013933167 PECOS PAC ID: 4082501192 Enrollment ID: O20040325001703

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. Regina M Ottem 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
Regina M Ottem, ANP 4311 3rd Ave, San Diego, CA 92103-1407 Ph: (619) 688-1600	Regina M Ottem, ANP 4311 3rd Ave, San Diego, CA 92103-1407 Ph: (619) 688-1600

Reviews and Comments

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Regina M Ottem, ANP - Medicare Nurse Practitioner in San Diego, CA