Benjamin Otiwu, is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Buford, Georgia. He graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Emory Specialty Associates, Llc and his current practice location is
3965 Bradford Walk Trl, Buford, Georgia. You can reach out to his office (for appointments etc.) via phone at
(678) 488-1093.
Benjamin Otiwu is licensed to practice in Georgia (license number 148574) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992486591.
Provider's Profile
| Full Name | Benjamin Otiwu |
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| Gender | Male |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 2 Years |
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| Location | 3965 Bradford Walk Trl, Buford, Georgia |
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| Accepts Medicare Assignments | Yes. He 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:
- Benjamin Otiwu graduated from nursing school in 2024
NPI Data:
- NPI Number: 1992486591
- Provider Enumeration Date: 07/26/2023
- Last Update Date: 05/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880130210
- Enrollment ID: I20240722004054
Medical Identifiers
Medical identifiers for Benjamin Otiwu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992486591 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | RN283773 (Georgia) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 148574 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Emory Specialty Associates, Llc | 3476559782 | 515 |
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. Benjamin Otiwu allows following entities to bill medicare on his behalf.
| Entity Name | Emory Specialty Associates, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407864168
PECOS PAC ID: 3476559782
Enrollment ID: O20061010000447 |
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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. Benjamin Otiwu 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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Benjamin Otiwu,
3965 Bradford Walk Trl,
Buford, GA 30519-7840
Ph: (678) 488-1093 | Benjamin Otiwu,
3965 Bradford Walk Trl,
Buford, GA 30519-7840
Ph: (678) 488-1093 |
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