Kimberlyn J Otto, LCSW in Evansville, WI - Medicare Clinical Social Worker Provider

Kimberlyn J Otto, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Evansville, Wisconsin. She graduated from medical school in 1991 and has 33 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mercy Health System Corporation and her current practice location is 300 Union St, Evansville, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (608) 882-5613.

Kimberlyn J Otto is licensed to practice in Wisconsin (license number 3013) 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 1053465989.

Contact Information

	Kimberlyn J Otto, LCSW
	300 Union St, Evansville, WI 53536-1175
	(608) 882-5613
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberlyn J Otto
Gender	Female
Speciality	Clinical Social Worker
Experience	33 Years
Location	300 Union St, Evansville, Wisconsin
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberlyn J Otto graduated from medical school in 1991

NPI Data:

NPI Number: 1053465989
Provider Enumeration Date: 01/22/2007
Last Update Date: 01/18/2011

Medicare PECOS Information:

PECOS PAC ID: 0042409443
Enrollment ID: I20110118000253

Medical Identifiers

Medical identifiers for Kimberlyn J Otto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053465989	NPI	-	NPPES
39692500	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	3013 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercy Health System Corp	Janesville, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mercy Health System Corporation	7416860440	475

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. Kimberlyn J Otto allows following entities to bill medicare on her behalf.

Entity Name	Mercy Health System Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164

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. Kimberlyn J Otto 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
Kimberlyn J Otto, LCSW 300 Union St, Evansville, WI 53536-1175 Ph: (608) 882-5613	Kimberlyn J Otto, LCSW 300 Union St, Evansville, WI 53536-1175 Ph: (608) 882-5613

Kimberlyn J Otto, LCSW - Medicare Clinical Social Worker in Evansville, WI