Mary Otoo, MD in Warsaw, IN - Medicare Surgery

Mary Otoo, MD is a medicare enrolled "Surgery" physician in Warsaw, Indiana. Her current practice location is 2101 Dubois Dr, Warsaw, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 267-3200.

Mary Otoo is licensed to practice in Indiana (license number 01082513A) 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 1124278775.

Contact Information

	Mary Otoo, MD
	2101 Dubois Dr, Warsaw, IN 46580-3210
	(574) 267-3200
	(574) 372-7649

Map and Direction

Physician's Profile

Full Name	Mary Otoo
Gender	Female
Speciality	Surgery
Location	2101 Dubois Dr, Warsaw, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124278775
Provider Enumeration Date: 09/19/2008
Last Update Date: 06/29/2022

Medicare PECOS Information:

PECOS PAC ID: 2567698020
Enrollment ID: I20190719001639

Medical Identifiers

Medical identifiers for Mary Otoo such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124278775	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	0436277 (Kansas)	Secondary
208600000X	Surgery	01082513A (Indiana)	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. Mary Otoo allows following entities to bill medicare on her behalf.

Entity Name	Kosciusko Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932349594 PECOS PAC ID: 5496809956 Enrollment ID: O20090818000398

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. Mary Otoo 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
Mary Otoo, MD 6920 Pointe Inverness Way Ste 200, Fort Wayne, IN 46804-7934 Ph: (260) 479-3513	Mary Otoo, MD 2101 Dubois Dr, Warsaw, IN 46580-3210 Ph: (574) 267-3200

Reviews and Comments

Surgery Doctors in Warsaw, IN

Dr. Corey French Graham, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Provident Dr, Suite C, Warsaw, IN 46580 Phone: 574-267-8728 Fax: 574-269-3470
Dr. Kishan T Kishan, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 2219 Dubois Dr, Warsaw, IN 46580 Phone: 574-269-3420 Fax: 574-269-2234
Patrick B. Ilada, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Provident Dr Ste C, Warsaw, IN 46580 Phone: 574-267-8728 Fax: 574-269-3470
Dr. Adria Lynn Ford, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1000 Medpark Drive, Suite C, Warsaw, IN 46580 Phone: 574-267-8728 Fax: 574-269-3470

Mary Otoo, MD - Medicare Surgery in Warsaw, IN