Ann Ottesen, NP is a medicare enrolled "Preventive Medicine - Occupational Medicine" in Bend, Oregon. She graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mosaic Community Health and her current practice location is
3350 Ne Manchester Ct, Bend, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 640-7243.
Ann Ottesen is licensed to practice in Oregon (license number 202212407NP-PP) 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 1699499582.
Provider's Profile
| Full Name | Ann Ottesen |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 4 Years |
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| Location | 3350 Ne Manchester Ct, Bend, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ann Ottesen graduated from nursing school in 2022
NPI Data:
- NPI Number: 1699499582
- Provider Enumeration Date: 10/03/2022
- Last Update Date: 06/15/2026
Medicare PECOS Information:
- PECOS PAC ID: 3971972985
- Enrollment ID: I20221214002038
Medical Identifiers
Medical identifiers for Ann Ottesen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699499582 | NPI | - | NPPES |
| 500812411 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163WX1500X | Registered Nurse - Ostomy Care | 20140455RN (Oregon) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 2022124070NP-PP (Oregon) | Secondary |
| 363L00000X | Nurse Practitioner | 202212407NP-PP (Oregon) | Secondary |
| 163WW0000X | Registered Nurse - Wound Care | 20140455RN (Oregon) | Secondary |
| 2083X0100X | Preventive Medicine - Occupational Medicine | 202212407NP-PP (Oregon) | Primary |
| 363LA2200X | Nurse Practitioner - Adult Health | 2022124070NP-PP (Oregon) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 2022124070NP-PP (Oregon) | Secondary |
| 163W00000X | Registered Nurse | 20140455RN (Oregon) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mosaic Community Health | 5395653497 | 80 |
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. Ann Ottesen allows following entities to bill medicare on her behalf.
| Entity Name | Icco Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407004757
PECOS PAC ID: 1355406729
Enrollment ID: O20090218000510 |
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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. Ann Ottesen 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 |
|---|
Ann Ottesen, NP
2660 Ne Highway 20 Ste 610,
Bend, OR 97701-6403
Ph: (541) 762-2727 | Ann Ottesen, NP
3350 Ne Manchester Ct,
Bend, OR 97701-8360
Ph: (541) 640-7243 |
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