Lesley Nicoloff Otto, MD - Medicare Obstetrics/gynecology in Portland, OR

Lesley Nicoloff Otto, MD is a medicare enrolled "Obstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery" physician in Portland, Oregon. She went to University Of Minnesota Medical School and graduated in 1993 and has 31 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Providence Health And Services Oregon and her current practice location is 9155 Sw Barnes Rd, Suite 634, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at (503) 297-4123.

Lesley Nicoloff Otto is licensed to practice in Oregon (license number MD18878) 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 1699729608.

Contact Information

Lesley Nicoloff Otto, MD
9155 Sw Barnes Rd, Suite 634,
Portland, OR 97225-6625
(503) 297-4123
(509) 297-0344

Map and Direction




Physician's Profile

Full NameLesley Nicoloff Otto
GenderFemale
SpecialityObstetrics/gynecology
Experience31 Years
Location9155 Sw Barnes Rd, Portland, Oregon
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lesley Nicoloff Otto attended and graduated from University Of Minnesota Medical School in 1993
  NPI Data:
  • NPI Number: 1699729608
  • Provider Enumeration Date: 05/22/2006
  • Last Update Date: 04/27/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 4587694583
  • Enrollment ID: I20050819000036

Medical Identifiers

Medical identifiers for Lesley Nicoloff Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699729608NPI-NPPES
073122MedicaidOR
MD18878OtherORLICENSE
2038459MedicaidWA
1699729608MedicaidWA
931237109OtherORTAX ID

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VG0400XObstetrics & Gynecology - Gynecology MD60636494 (Washington)Secondary
207VF0040XObstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery MD60636494 (Washington)Secondary
207VF0040XObstetrics & Gynecology - Female Pelvic Medicine And Reconstructive Surgery MD18878 (Oregon)Primary
207VG0400XObstetrics & Gynecology - Gynecology MD18878 (Oregon)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Health And Services Oregon06481836081328

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. Lesley Nicoloff Otto allows following entities to bill medicare on her behalf.
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023488343
PECOS PAC ID: 0648183608
Enrollment ID: O20031106000652
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1003991845
PECOS PAC ID: 5395656284
Enrollment ID: O20031113000626
Entity NameProvidence Health & Services Oregon
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114015971
PECOS PAC ID: 9335057447
Enrollment ID: O20031117000153

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. Lesley Nicoloff Otto 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 AddressPractice Location Address
Lesley Nicoloff Otto, MD
847 Ne19th, Suite 300,
Portland, OR 97232

Ph: (503) 963-2801
Lesley Nicoloff Otto, MD
9155 Sw Barnes Rd, Suite 634,
Portland, OR 97225-6625

Ph: (503) 297-4123

Reviews and Comments


Obstetrics & Gynecology Doctors in Portland, OR

Dr. Rachel L Gutfreund, MD
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 10101 Se Main St Ste 3001, Portland, OR 97216
Phone: 503-261-4423    Fax: 503-261-4424
John Gilbert Buckmaster, MD
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Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4200    
Darlene J Dodson, M.D.
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 9205 Sw Barnes Rd Fl 3, Portland, OR 97225
Phone: 503-216-3388    
Antonio E Frias, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-418-4200    Fax: 503-494-4473
Sig-linda Jacobson, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5006 Sw Martha St, Portland, OR 97221
Phone: 503-806-7854    
Laila Raad Sillay, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 9555 Sw Barnes Rd Ste 360, Portland, OR 97225
Phone: 503-445-0590    
Edward Paul Kirk, MD
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 3181 Sw Sam Jackson Park Rd, Portland, OR 97239
Phone: 503-494-4500    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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