Dr Alicia Ottati, PHD is a medicare enrolled "Psychologist - Clinical" provider in Vandalia, Ohio. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Sondermind Provider Network Llc, Sondermind Provider Network Llc and her current practice location is
1685 Mulberry Woods Ct, Vandalia, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 367-1270.
Dr Alicia Ottati is licensed to practice in Ohio (license number P.08275.MIL) 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 1174990972.
Healthcare Provider's Profile
| Full Name | Dr Alicia Ottati |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 1685 Mulberry Woods Ct, Vandalia, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Alicia Ottati graduated from medical school in 2015
NPI Data:
- NPI Number: 1174990972
- Provider Enumeration Date: 08/27/2015
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204122187
- Enrollment ID: I20220809001225
Medical Identifiers
Medical identifiers for Dr Alicia Ottati such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174990972 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 39344 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810005413 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | P.08275.MIL (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sondermind Provider Network Llc | 9537572490 | 501 |
| Sondermind Provider Network Llc | 9537572490 | 501 |
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 Alicia Ottati allows following entities to bill medicare on her behalf.
| Entity Name | Medoptions Of Ohio Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629428974
PECOS PAC ID: 5799064515
Enrollment ID: O20161118002047 |
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| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210316002509 |
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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 Alicia Ottati 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 |
|---|
Dr Alicia Ottati, PHD
8139 Old Troy Pike # 1046,
Huber Heights, OH 45424-1067
Ph: (512) 910-5090 | Dr Alicia Ottati, PHD
1685 Mulberry Woods Ct,
Vandalia, OH 45377-9501
Ph: (937) 367-1270 |
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