Roseline Otunga, FNP in Atlanta, GA - Medicare Nurse Practitioner

Roseline Otunga, FNP is a medicare enrolled "Nurse Practitioner - Family" in Atlanta, Georgia. Her current practice location is 3620 Martin Luther King Jr Dr Sw, Atlanta, Georgia. You can reach out to her office (for appointments etc.) via phone at (404) 696-7300.

Roseline Otunga is licensed to practice in Georgia (license number 237353) 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 1770176661.

Contact Information

	Roseline Otunga, FNP
	3620 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3711
	(404) 696-7300
	(404) 696-0509

Map and Direction

Provider's Profile

Full Name	Roseline Otunga
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3620 Martin Luther King Jr Dr Sw, Atlanta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770176661
Provider Enumeration Date: 02/11/2021
Last Update Date: 05/16/2024

Medicare PECOS Information:

PECOS PAC ID: 3870984891
Enrollment ID: I20211230001936

Medical Identifiers

Medical identifiers for Roseline Otunga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770176661	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	237353 (Georgia)	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. Roseline Otunga allows following entities to bill medicare on her behalf.

Entity Name	Southwest Atlanta Nephrology, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992756894 PECOS PAC ID: 2062315088 Enrollment ID: O20040128000750

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. Roseline Otunga 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
Roseline Otunga, FNP 3620 Mlk Jr Dr Sw, Atlanta, GA 30331-3711 Ph: () -	Roseline Otunga, FNP 3620 Martin Luther King Jr Dr Sw, Atlanta, GA 30331-3711 Ph: (404) 696-7300

Reviews and Comments

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Roseline Otunga, FNP - Medicare Nurse Practitioner in Atlanta, GA