Tammy Lea Otero, LADC/MH is a
Counselor - Mental Health based in Tonkawa, Oklahoma. Tammy Lea Otero is licensed to practice in Oklahoma (license number 1442) and her current practice location is
12501 W Fountain Rd, Tonkawa, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(505) 263-1731.
NPI number for Tammy Lea Otero is 1376199596 and her current mailing address is 12501 W Fountain Rd, Tonkawa, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1376199596.
Healthcare Provider's Profile
Full Name | Tammy Lea Otero |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 12501 W Fountain Rd, Tonkawa, Oklahoma |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1376199596
- Provider Enumeration Date: 08/13/2019
- Last Update Date: 06/30/2023
Medical Identifiers
Medical identifiers for Tammy Lea Otero such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376199596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (Oklahoma) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 1442 (Oklahoma) | 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. Tammy Lea Otero is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tammy Lea Otero, LADC/MH 12501 W Fountain Rd, Tonkawa, OK 74653-4427 Ph: (505) 263-1731 | Tammy Lea Otero, LADC/MH 12501 W Fountain Rd, Tonkawa, OK 74653-4427 Ph: (505) 263-1731 |
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