Lissette Alexandra Otero, NP - Medicare Nurse Practitioner in New York, NY

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Lissette Alexandra Otero, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in New York, New York. 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 Doral Medical And Multi Specialty Facility Llc and her current practice location is 4405 Broadway, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 740-2020.

Lissette Alexandra Otero is licensed to practice in New York (license number 311049) 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 1255037065.

Contact Information

Lissette Alexandra Otero, NP
4405 Broadway,
New York, NY 10040-4014
(212) 740-2020
(646) 666-0280

Map and Direction




Provider's Profile

Full NameLissette Alexandra Otero
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location4405 Broadway, New York, New York
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lissette Alexandra Otero graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1255037065
  • Provider Enumeration Date: 02/02/2023
  • Last Update Date: 04/13/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 6507212206
  • Enrollment ID: I20231101002534

Medical Identifiers

Medical identifiers for Lissette Alexandra Otero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255037065NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 311049 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vns Of Ny Home Care ChhaNew york, NYHome health agency
Americare Certified Special Services, Inc ChhaBrooklyn, NYHome health agency

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Doral Medical And Multi Specialty Facility Llc983052864554

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. Lissette Alexandra Otero allows following entities to bill medicare on her behalf.
Entity NameDoral Medical And Multi Specialty Facility Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144693607
PECOS PAC ID: 9830528645
Enrollment ID: O20200330003306

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. Lissette Alexandra Otero 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 AddressPractice Location Address
Lissette Alexandra Otero, NP
Po Box 746087,
Atlanta, GA 30374-6087

Ph: (773) 352-1515		Lissette Alexandra Otero, NP
4405 Broadway,
New York, NY 10040-4014

Ph: (212) 740-2020

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.