Ms Mayumi Otsuka, MD - Medicare Pediatrics in Gallup, NM

Ms Mayumi Otsuka, MD is a medicare enrolled "Pediatrics" physician in Gallup, New Mexico. Her current practice location is 516 East Nizhoni Blvd, Gallup, New Mexico. You can reach out to her office (for appointments etc.) via phone at (505) 722-1000.

Ms Mayumi Otsuka is licensed to practice in Vermont (license number 0420010593) 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 1518954999.

Contact Information

Ms Mayumi Otsuka, MD
516 East Nizhoni Blvd,
Gallup, NM 87301-1337
(505) 722-1000
(505) 722-1268

Map and Direction




Physician's Profile

Full NameMs Mayumi Otsuka
GenderFemale
SpecialityPediatrics
Location516 East Nizhoni Blvd, Gallup, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518954999
  • Provider Enumeration Date: 09/30/2005
  • Last Update Date: 04/29/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 1052212511
  • Enrollment ID: I20040116000873

Medical Identifiers

Medical identifiers for Ms Mayumi Otsuka such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518954999NPI-NPPES
24559342MedicaidCO
811457MedicaidAZ
63139324MedicaidNM

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 0420010593 (Vermont)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. Ms Mayumi Otsuka allows following entities to bill medicare on her behalf.
Entity NameDhhs,phs,naihs, Gallup Indian Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1225002322
PECOS PAC ID: 3173436409
Enrollment ID: O20031111000840

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. Ms Mayumi Otsuka 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
Ms Mayumi Otsuka, MD
P.o. Box 1337,
Gallup, NM 87305-1337

Ph: (505) 722-1000
Ms Mayumi Otsuka, MD
516 East Nizhoni Blvd,
Gallup, NM 87301-1337

Ph: (505) 722-1000

Reviews and Comments


Pediatrics Doctors in Gallup, NM

Dr. Carlos Manuel De Sanctis, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 516 E. Nizhoni Blvd., Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1268
Ramona V. Anderson, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 516 East Nizhoni Blvd., Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1268
Dr. John Edward Ratmeyer, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1268
Michelle Stam-maclaren, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 2111 College Drive, Rehoboth Mckinley Christian Health Care Services, Gallup, NM 87301
Phone: 505-863-1820    
Janet M Li-tempest, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 516 Nizhoni Blvd, Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1268
Gary A Escudero, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 516 E. Nizhoni Blvd, Box 1337, Gallup, NM 87301
Phone: 505-722-1000    Fax: 505-722-1397
Dr. Gayle Ann Harrison, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 2111 College Dr, Gallup, NM 87301
Phone: 505-863-1820    Fax: 505-863-1898

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

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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