Jacqueline Ann Ots, PENDING in Oshkosh, WI - Medicare Nurse Practitioner

Jacqueline Ann Ots, PENDING is a medicare enrolled "Nurse Practitioner" in Oshkosh, Wisconsin. She graduated from nursing school in 2020 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aurora Medical Group, Inc. and her current practice location is 855 N Westhaven Dr, Oshkosh, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 303-8700.

Jacqueline Ann Ots is licensed to practice in Wisconsin (license number 10085) 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 1003456823.

Contact Information

	Jacqueline Ann Ots, PENDING
	855 N Westhaven Dr, Oshkosh, WI 54904-7668
	(920) 303-8700
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacqueline Ann Ots
Gender	Female
Speciality	Nurse Practitioner
Experience	6 Years
Location	855 N Westhaven Dr, Oshkosh, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jacqueline Ann Ots graduated from nursing school in 2020

NPI Data:

NPI Number: 1003456823
Provider Enumeration Date: 01/09/2020
Last Update Date: 07/11/2023

Medicare PECOS Information:

PECOS PAC ID: 7214359561
Enrollment ID: I20200616000191

Medical Identifiers

Medical identifiers for Jacqueline Ann Ots such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003456823	NPI	-	NPPES
100099992	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	10085 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora Medical Ctr Oshkosh	Oshkosh, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Aurora Medical Group, Inc.	6709794258	3491

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. Jacqueline Ann Ots allows following entities to bill medicare on her behalf.

Entity Name	Baycare Clinic Llp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588609648 PECOS PAC ID: 4385554328 Enrollment ID: O20031105000087

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

Entity Name	Lakeshore Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003861188 PECOS PAC ID: 7719890730 Enrollment ID: O20031106000481

Entity Name	Aurora Advanced Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694

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. Jacqueline Ann Ots 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
Jacqueline Ann Ots, PENDING Po Box 735044, Chicago, IL 60673-5044 Ph: (920) 303-8700	Jacqueline Ann Ots, PENDING 855 N Westhaven Dr, Oshkosh, WI 54904-7668 Ph: (920) 303-8700

Reviews and Comments

Nurse Practitioner Nurses in Oshkosh, WI

Angela Lemerande, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 515 S Washburn St Ste 200, Oshkosh, WI 54904 Phone: 920-969-1768 Fax: 920-267-5222
Ms. Joyce E Abbott, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 414 Doctors Ct, Oshkosh, WI 54901 Phone: 920-303-5100 Fax: 920-303-5150
Xing Kong, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-303-8700 Fax: 920-303-8827
Mrs. Jennifer Mladucky, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2700 W 9th Ave, Suite 11, Oshkosh, WI 54904 Phone: 920-236-1555
Sandralee S Quade, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1855 S Koeller St, Oshkosh, WI 54902 Phone: 920-223-7100
Lindsay R Locklar, CNM Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 855 N Westhaven Dr, Oshkosh, WI 54904 Phone: 920-456-7300

Jacqueline Ann Ots, PENDING - Medicare Nurse Practitioner in Oshkosh, WI