Keaghan Ottenbaker, DO in Ada, MI - Medicare Family Medicine

Keaghan Ottenbaker, DO is a medicare enrolled "Family Medicine" physician in Ada, Michigan. Her current practice location is 7128 Fulton St E, Ada, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 825-3530.

Keaghan Ottenbaker is licensed to practice in Michigan (license number 5151014380) 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 1558987149.

Contact Information

	Keaghan Ottenbaker, DO
	7128 Fulton St E, Ada, MI 49301-8413
	(616) 825-3530
	Not Available

Map and Direction

Physician's Profile

Full Name	Keaghan Ottenbaker
Gender	Female
Speciality	Family Medicine
Location	7128 Fulton St E, Ada, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1558987149
Provider Enumeration Date: 06/19/2020
Last Update Date: 09/06/2023

Medicare PECOS Information:

PECOS PAC ID: 1254754146
Enrollment ID: I20230804002602

Medical Identifiers

Medical identifiers for Keaghan Ottenbaker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1558987149	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	5151014380 (Michigan)	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. Keaghan Ottenbaker allows following entities to bill medicare on her behalf.

Entity Name	Spectrum Health Primary Care Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235188673 PECOS PAC ID: 4587568647 Enrollment ID: O20031121000091

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. Keaghan Ottenbaker 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
Keaghan Ottenbaker, DO 100 Michigan St Ne # Mc845, Grand Rapids, MI 49503-2560 Ph: () -	Keaghan Ottenbaker, DO 7128 Fulton St E, Ada, MI 49301-8413 Ph: (616) 825-3530

Reviews and Comments

Family Medicine Doctors in Ada, MI

Junwen Law, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7128 Fulton St E, Ada, MI 49301 Phone: 616-825-3530
Lauren Phillips Michelli, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7128 Fulton St E, Ada, MI 49301 Phone: 616-825-3530
Dr. Lara Jean Baatenburg, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6741 Fulton St E Ste 200, Ada, MI 49301 Phone: 616-290-1650 Fax: 833-973-4117
Dr. Lawrence G. Foe, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 7128 Fulton St E, Ada, MI 49301 Phone: 616-825-3530
Jana Rene Baatenburg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6741 Fulton St E Ste 200, Ada, MI 49301 Phone: 616-290-1650 Fax: 833-973-4117
Guy J Garrett, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 6181 Witherbee Dr Se, Ada, MI 49301 Phone: 616-676-3207

Keaghan Ottenbaker, DO - Medicare Family Medicine in Ada, MI