Ms Laudan T Kotoitubou, MBBS - Medicare Emergency Medicine in Pagopago, AS

Ms Laudan T Kotoitubou, MBBS is a medicare enrolled "Emergency Medicine" physician in Pagopago, American Samoa. Her current practice location is 96799 Turner Drive, Pagopago, American Samoa. You can reach out to her office (for appointments etc.) via phone at (684) 633-1222.

Ms Laudan T Kotoitubou is licensed to practice in American Samoa (license number 4111C) 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 1508512336.

Contact Information

Ms Laudan T Kotoitubou, MBBS
96799 Turner Drive,
Pagopago, AS 96799-0010
(684) 633-1222
(684) 633-1869



Physician's Profile

Full NameMs Laudan T Kotoitubou
GenderFemale
SpecialityEmergency Medicine
Location96799 Turner Drive, Pagopago, American Samoa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1508512336
  • Provider Enumeration Date: 03/02/2022
  • Last Update Date: 03/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5799138335
  • Enrollment ID: I20240130002521

Medical Identifiers

Medical identifiers for Ms Laudan T Kotoitubou such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508512336NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 4111C (American Samoa)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. Ms Laudan T Kotoitubou allows following entities to bill medicare on her behalf.
Entity NameAmerican Samoa Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043085681
PECOS PAC ID: 4385545870
Enrollment ID: O20240102002464

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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. Ms Laudan T Kotoitubou 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
Ms Laudan T Kotoitubou, MBBS
Po Box Lbj,
Pago Pago, AS 96799-0010

Ph: (684) 633-1222
Ms Laudan T Kotoitubou, MBBS
96799 Turner Drive,
Pagopago, AS 96799-0010

Ph: (684) 633-1222

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Emergency Medicine Doctors in Pagopago, AS


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