Regina Ottan, is a medicare enrolled "Nurse Practitioner" physician in Houston, Texas. Her current practice location is
8686 Hwy 6 North, Houston, Texas. You can reach out to her office (for appointments etc.) via phone at
(281) 861-4212.
Regina Ottan is licensed to practice in Texas (license number F05170039) 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 1164950283.
Physician's Profile
| Full Name | Regina Ottan |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 8686 Hwy 6 North, Houston, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1164950283
- Provider Enumeration Date: 06/02/2017
- Last Update Date: 04/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 1951710656
- Enrollment ID: I20240612000878
Medical Identifiers
Medical identifiers for Regina Ottan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164950283 | NPI | - | NPPES |
| F05170039 | Other | TX | FAMILY NURSE PRACTITIONER |
| 1164950283 | Other | TX | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | AP134113 (Texas) | Secondary |
| 363L00000X | Nurse Practitioner | F05170039 (Texas) | 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. Regina Ottan allows following entities to bill medicare on her behalf.
| Entity Name | Copperfield Medical Practice Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043994379
PECOS PAC ID: 5193184745
Enrollment ID: O20230629003704 |
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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. Regina Ottan 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 |
|---|
Regina Ottan,
7115 S Mason Rd Apt 1911,
Richmond, TX 77407-4482
Ph: (248) 842-2852 | Regina Ottan,
8686 Hwy 6 North,
Houston, TX 77095
Ph: (281) 861-4212 |
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