Mr Otto R Medinilla Jr, PAC - Physician Assistant in Fort Myers, FL

Mr Otto R Medinilla Jr, PAC is a Physician Assistant based in Fort Myers, Florida. Mr Otto R Medinilla Jr is licensed to practice in Delaware (license number C50000198) and his current practice location is 11300 Lindbergh Blvd Ste 115, Fort Myers, Florida. He can be reached at his office (for appointments etc.) via phone at (239) 245-8600.

NPI number for Mr Otto R Medinilla Jr is 1649259540 and his current mailing address is Po Box 3048, Wilmington, Delaware. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1649259540.

Contact Information

Mr Otto R Medinilla Jr, PAC
11300 Lindbergh Blvd Ste 115,
Fort Myers, FL 33913-8827
(239) 245-8600
(239) 245-8660

Map and Direction




Provider's Profile

Full NameMr Otto R Medinilla Jr
GenderMale
SpecialityPhysician Assistant
Location11300 Lindbergh Blvd Ste 115, Fort Myers, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649259540
  • Provider Enumeration Date: 01/10/2006
  • Last Update Date: 12/01/2020

Medical Identifiers

Medical identifiers for Mr Otto R Medinilla Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649259540NPI-NPPES
1000036903MedicaidDE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant C50000198 (Delaware)Primary

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 Otto R Medinilla Jr is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Otto R Medinilla Jr, PAC
Po Box 3048,
Wilmington, DE 19804

Ph: (302) 224-5678
Mr Otto R Medinilla Jr, PAC
11300 Lindbergh Blvd Ste 115,
Fort Myers, FL 33913-8827

Ph: (239) 245-8600

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).

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