| Brian D Ottesen, ARNP | |
|
18313 Paulson St Sw, Rochester, WA 98579-9262 | |
| (360) 827-8400 | |
| Not Available |
| Full Name | Brian D Ottesen |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 18313 Paulson St Sw, Rochester, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023615549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP61109954 (Washington) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Summit Pacific Medical Center-swing Bed Unit | Elma, WA | Hospital |
| Grays Harbor Community Hospital | Aberdeen, WA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grays Harbor County Public Hospital District No 1 | 9032017256 | 43 |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Providence Health & Services Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028 |
| Entity Name | Grays Harbor County Public Hospital District No 1 |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1740211028 PECOS PAC ID: 9032017256 Enrollment ID: O20031226000146 |
| Entity Name | Providence Health & Services - Washington |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205931508 PECOS PAC ID: 2365427556 Enrollment ID: O20040622000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Brian D Ottesen, ARNP Po Box 3360, Portland, OR 97208-3360 Ph: () - | Brian D Ottesen, ARNP 18313 Paulson St Sw, Rochester, WA 98579-9262 Ph: (360) 827-8400 |
Katty Raisor, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18313 Paulson St Sw Ste A, Rochester, WA 98579 Phone: 360-827-8400 Fax: 360-273-7301 | |
Julie Rice, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18313 Paulson St Sw, Suite A, Rochester, WA 98579 Phone: 360-273-8818 Fax: 360-273-7301 | |
Mrs. Jessica Diane Mckeown Ryan, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 18313 Paulson St Sw, Rochester, WA 98579 Phone: 360-827-8400 Fax: 360-273-7301 | |
Ashley Miraldi, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18313 Paulson St Sw, Rochester, WA 98579 Phone: 360-827-8400 |