Alexis B Otteson, DNP, APRN, CNM is a medicare enrolled "Advanced Practice Midwife" in Staples, Minnesota. Her current practice location is
49725 County 83, Staples, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(218) 894-1515.
Alexis B Otteson is licensed to practice in Minnesota (license number 586) 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 1184461030.
Provider's Profile
| Full Name | Alexis B Otteson |
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| Gender | Female |
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| Speciality | Advanced Practice Midwife |
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| Location | 49725 County 83, Staples, Minnesota |
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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: 1184461030
- Provider Enumeration Date: 07/09/2024
- Last Update Date: 12/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 6709323884
- Enrollment ID: I20240807001425
Medical Identifiers
Medical identifiers for Alexis B Otteson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184461030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367A00000X | Advanced Practice Midwife | 586 (Minnesota) | 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. Alexis B Otteson allows following entities to bill medicare on her behalf.
| Entity Name | Lakewood Health System |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841280823
PECOS PAC ID: 1052229671
Enrollment ID: O20031104000411 |
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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. Alexis B Otteson 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 |
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Alexis B Otteson, DNP, APRN, CNM
49725 County 83,
Staples, MN 56479-5280
Ph: (218) 894-1515 | Alexis B Otteson, DNP, APRN, CNM
49725 County 83,
Staples, MN 56479-5280
Ph: (218) 894-1515 |
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