Dr Johnson Otong, MD is a medicare enrolled "General Practice" in Winter Haven, Florida. His current practice location is
2791 Lake Alfred Rd, American Care Of Tampa, Inc., Winter Haven, Florida. You can reach out to his office (for appointments etc.) via phone at
(863) 291-4590.
Dr Johnson Otong is licensed to practice in Puerto Rico (license number 16570I) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1477970713.
Provider's Profile
| Full Name | Dr Johnson Otong |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 2791 Lake Alfred Rd, Winter Haven, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1477970713
- Provider Enumeration Date: 03/25/2014
- Last Update Date: 08/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 7810219029
- Enrollment ID: I20141125000639
Medical Identifiers
Medical identifiers for Dr Johnson Otong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477970713 | NPI | - | NPPES |
| ARNP-9340098 | Other | FL | ARNP LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | ARNP-9340098 (Florida) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 60650287 (Washington) | Secondary |
| 208D00000X | General Practice | 16570I (Puerto Rico) | Primary |
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. Dr Johnson Otong allows following entities to bill medicare on his behalf.
| Entity Name | American Care Of Tampa Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245385095
PECOS PAC ID: 6103845268
Enrollment ID: O20051117000427 |
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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. Dr Johnson Otong 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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Dr Johnson Otong, MD
11255 Sw 211th St, American Care, Inc.,
Miami, FL 33189-2240
Ph: (305) 278-0200 | Dr Johnson Otong, MD
2791 Lake Alfred Rd, American Care Of Tampa, Inc.,
Winter Haven, FL 33881-1432
Ph: (863) 291-4590 |
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