Prisma Otanez, FNP in Bell, CA - Medicare Nurse Practitioner

Prisma Otanez, FNP is a medicare enrolled "Nurse Practitioner - Family" in Bell, California. Her current practice location is 4670 Gage Ave, Bell, California. You can reach out to her office (for appointments etc.) via phone at (323) 562-3135.

Prisma Otanez is licensed to practice in California (license number 95014990) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992318315.

Contact Information

	Prisma Otanez, FNP
	4670 Gage Ave, Bell, CA 90201-1360
	(323) 562-3135
	Not Available

Map and Direction

Provider's Profile

Full Name	Prisma Otanez
Gender	Female
Speciality	Nurse Practitioner - Family
Location	4670 Gage Ave, Bell, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992318315
Provider Enumeration Date: 08/25/2020
Last Update Date: 08/25/2020

Medicare PECOS Information:

PECOS PAC ID: 8820498173
Enrollment ID: I20210608003840

Medical Identifiers

Medical identifiers for Prisma Otanez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992318315	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95014990 (California)	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. Prisma Otanez allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic Medical Group Of California Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033309372 PECOS PAC ID: 8224191374 Enrollment ID: O20090115000289

Entity Name	Minuteclinic Diagnostic Medical Group Of San Diego Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568659233 PECOS PAC ID: 2567520414 Enrollment ID: O20090127000249

Entity Name	Albion Medical Partners Of California West, Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073110607 PECOS PAC ID: 8921419813 Enrollment ID: O20201125000882

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. Prisma Otanez 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
Prisma Otanez, FNP 14419 Arthur St, Oak Hills, CA 92344-9507 Ph: () -	Prisma Otanez, FNP 4670 Gage Ave, Bell, CA 90201-1360 Ph: (323) 562-3135

Reviews and Comments

Nurse Practitioner Nurses in Bell, CA

Patricia Luna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4750 Gage Ave, Bell, CA 90201 Phone: 866-981-3002
Margaret Medina, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5101 Florence Ave, Bell, CA 90201 Phone: 323-774-1970
Danila Yesenia Portillo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4566 Florence Ave Ste 5, Bell, CA 90201 Phone: 323-771-7466
Danilo Barrientos, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4129 Gage Ave, Bell, CA 90201 Phone: 323-771-8400
Ms. Martha Cynthia Camacho, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4670e Gage Ave, Bell, CA 90201 Phone: 323-562-3135 Fax: 323-375-0771
Karla Bates, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4129 Gage Ave, Bell, CA 90201 Phone: 626-457-5515
Cecilia Leon, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5101 Florence Ave Ste 5, Bell, CA 90201 Phone: 323-774-9970

Prisma Otanez, FNP - Medicare Nurse Practitioner in Bell, CA