Christiana Otuwa, is a medicare enrolled "Nurse Practitioner - Gerontology" in Olympia Flds, Illinois. She graduated from nursing school in 2002 and has 23 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Cook County and her current practice location is
504 Wysteria Dr, Olympia Flds, Illinois. You can reach out to her office (for appointments etc.) via phone at
(312) 864-6000.
Christiana Otuwa is licensed to practice in Illinois (license number AG05220029) 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 1134846124.
Provider's Profile
| Full Name | Christiana Otuwa |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 23 Years |
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| Location | 504 Wysteria Dr, Olympia Flds, Illinois |
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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:
- Christiana Otuwa graduated from nursing school in 2002
NPI Data:
- NPI Number: 1134846124
- Provider Enumeration Date: 10/20/2022
- Last Update Date: 10/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 3870027386
- Enrollment ID: I20241106002500
Medical Identifiers
Medical identifiers for Christiana Otuwa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1134846124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LG0600X | Nurse Practitioner - Gerontology | AG05220029 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Cook County | 2860398088 | 698 |
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. Christiana Otuwa allows following entities to bill medicare on her behalf.
| Entity Name | Cook County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747 |
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| Entity Name | Signify Health Medical Associates Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750845863
PECOS PAC ID: 2163764424
Enrollment ID: O20190507001451 |
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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. Christiana Otuwa 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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Christiana Otuwa,
504 Wysteria Dr,
Olympia Flds, IL 60461-1228
Ph: (708) 955-6204 | Christiana Otuwa,
504 Wysteria Dr,
Olympia Flds, IL 60461-1228
Ph: (312) 864-6000 |
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