Mr Jonathon Andrew Ottolini, PA-C - Medicare Physician Assistant in Pontiac, MI

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Mr Jonathon Andrew Ottolini, PA-C is a medicare enrolled "Physician Assistant" in Pontiac, Michigan. His current practice location is 44405 Woodward Ave, Pontiac, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 858-3000.

Mr Jonathon Andrew Ottolini is licensed to practice in Michigan (license number 5601010788) 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 1073274528.

Contact Information

Mr Jonathon Andrew Ottolini, PA-C
44405 Woodward Ave,
Pontiac, MI 48341-5023
(248) 858-3000
Not Available

Map and Direction




Provider's Profile

Full NameMr Jonathon Andrew Ottolini
GenderMale
SpecialityPhysician Assistant
Location44405 Woodward Ave, Pontiac, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1073274528
  • Provider Enumeration Date: 01/06/2022
  • Last Update Date: 01/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2769878362
  • Enrollment ID: I20220407001583

Medical Identifiers

Medical identifiers for Mr Jonathon Andrew Ottolini such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073274528NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 5601010788 (Michigan)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. Mr Jonathon Andrew Ottolini allows following entities to bill medicare on his behalf.
Entity NameIndependent Emergency Physicians PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1780791343
PECOS PAC ID: 6709798325
Enrollment ID: O20031103000407
Entity NameIndependent Observation Physicians PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700119500
PECOS PAC ID: 3577603604
Enrollment ID: O20091221000327

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. Mr Jonathon Andrew Ottolini 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
Mr Jonathon Andrew Ottolini, PA-C
37000 Grand River Ave Ste 310,
Farmington Hills, MI 48335-2868

Ph: (248) 536-2127		Mr Jonathon Andrew Ottolini, PA-C
44405 Woodward Ave,
Pontiac, MI 48341-5023

Ph: (248) 858-3000

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.