Jasmine Ottmar, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Fargo, North Dakota. She graduated from healthcare school in 2011 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Jasmine Ottmar Pllc and her current practice location is
6046 14th St S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 404-0997.
Jasmine Ottmar is licensed to practice in North Dakota (license number 4446) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1942579966.
Healthcare Provider's Profile
| Full Name | Jasmine Ottmar |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 14 Years |
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| Location | 6046 14th St S, Fargo, North Dakota |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jasmine Ottmar graduated from medical school in 2011
NPI Data:
- NPI Number: 1942579966
- Provider Enumeration Date: 12/20/2011
- Last Update Date: 10/05/2021
Medicare PECOS Information:
- PECOS PAC ID: 2668804865
- Enrollment ID: I20200221002493
Medical Identifiers
Medical identifiers for Jasmine Ottmar such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942579966 | NPI | - | NPPES |
| 1471882 | Medicaid | ND | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 4446 (North Dakota) | Secondary |
| 104100000X | Social Worker | 4446 (North Dakota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 4446 (North Dakota) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Jasmine Ottmar Pllc | 8628487816 | 2 |
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. Jasmine Ottmar allows following entities to bill medicare on her behalf.
| Entity Name | Jasmine Ottmar Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235720574
PECOS PAC ID: 8628487816
Enrollment ID: O20210428002421 |
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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. Jasmine Ottmar 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 |
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Jasmine Ottmar, LICSW
6046 14th St S,
Fargo, ND 58104-7340
Ph: (701) 209-0319 | Jasmine Ottmar, LICSW
6046 14th St S,
Fargo, ND 58104-7340
Ph: (701) 404-0997 |
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