Jenna Otter, MD in Portland, OR - Medicare Emergency Medicine

Jenna Otter, MD is a medicare enrolled "Emergency Medicine" physician in Portland, Oregon. She went to Columbia University College Of Physicians And Surgeons and graduated in 2015 and has 9 years of diverse experience with area of expertise as Emergency Medicine. She is a member of the group practice Oregon Health And Sciences University/university Medical Group, Providence Health And Services Oregon and her current practice location is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 494-7551.

Jenna Otter is licensed to practice in Oregon (license number MD197719) 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 1295116671.

Contact Information

	Jenna Otter, MD
	3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011
	(503) 494-7551
	(503) 494-4997

Map and Direction

Physician's Profile

Full Name	Jenna Otter
Gender	Female
Speciality	Emergency Medicine
Experience	9 Years
Location	3181 Sw Sam Jackson Park Rd, Portland, Oregon
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jenna Otter attended and graduated from Columbia University College Of Physicians And Surgeons in 2015

NPI Data:

NPI Number: 1295116671
Provider Enumeration Date: 06/11/2015
Last Update Date: 10/18/2021

Medicare PECOS Information:

PECOS PAC ID: 2668765181
Enrollment ID: I20200701000599

Medical Identifiers

Medical identifiers for Jenna Otter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295116671	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	MD197719 (Oregon)	Primary
207P00000X	Emergency Medicine	A154514 (California)	Secondary
207P00000X	Emergency Medicine	MT298926 (Pennsylvania)	Secondary
207PT0002X	Emergency Medicine - Medical Toxicology	MD197719 (Oregon)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Portland Medical Center	Portland, OR	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Oregon Health And Sciences University/university Medical Group	4880760107	1485
Providence Health And Services Oregon	5395656284	102

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. Jenna Otter allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626

Entity Name	Providence Health & Services Oregon
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114015971 PECOS PAC ID: 9335057447 Enrollment ID: O20031117000153

Entity Name	University Professional Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376709535 PECOS PAC ID: 4880760107 Enrollment ID: O20080910000013

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. Jenna Otter 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
Jenna Otter, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7551	Jenna Otter, MD 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3011 Ph: (503) 494-7551

Reviews and Comments

Emergency Medicine Doctors in Portland, OR

Kimberly Lauren Imbesi, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-8211 Fax: 503-346-8021
Dr. Hani Darwich, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Dr. Robert Thomas Martin, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4805 Ne Glisan St, Portland, OR 97213 Phone: 503-297-6334 Fax: 503-297-2360
Dr. Jessica Slim, M.D., M.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 Phone: 503-494-7551 Fax: 503-494-4997
Robert Barriatua, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-252-2004
Carolyn N Rhett, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1015 Nw 22nd Ave, Portland, OR 97210 Phone: 503-413-7260
Dr. Ross Emery Bryan Iv, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 3181 Sw Sam Jackson Park Rd, Ohsu Dept Of Emergency Medicine Cdw-em, Portland, OR 97239 Phone: 503-494-1270

Jenna Otter, MD - Medicare Emergency Medicine in Portland, OR