Kylie Ann Otte, LICSW in Coon Rapids, MN - Medicare Social Worker Provider

Kylie Ann Otte, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Coon Rapids, Minnesota. Her current practice location is 1930 Coon Rapids Blvd Nw, Coon Rapids, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 774-0011.

Kylie Ann Otte is licensed to practice in Minnesota (license number 20242) 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 1780375071.

Contact Information

	Kylie Ann Otte, LICSW
	1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708
	(651) 774-0011
	(651) 774-0606

Map and Direction

Healthcare Provider's Profile

Full Name	Kylie Ann Otte
Gender	Female
Speciality	Social Worker - Clinical
Location	1930 Coon Rapids Blvd Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780375071
Provider Enumeration Date: 05/17/2023
Last Update Date: 08/24/2023

Medicare PECOS Information:

PECOS PAC ID: 8628436326
Enrollment ID: I20230627002175

Medical Identifiers

Medical identifiers for Kylie Ann Otte such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780375071	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	20242 (Minnesota)	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. Kylie Ann Otte allows following entities to bill medicare on her behalf.

Entity Name	People Incorporated
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215104831 PECOS PAC ID: 7012043540 Enrollment ID: O20100409000071

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. Kylie Ann Otte 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
Kylie Ann Otte, LICSW 3000 Ames Crossing Rd Ste 600, Eagan, MN 55121-2519 Ph: (651) 774-0011	Kylie Ann Otte, LICSW 1930 Coon Rapids Blvd Nw, Coon Rapids, MN 55433-4708 Ph: (651) 774-0011

Reviews and Comments

Social Worker in Coon Rapids, MN

Blythe Ellen Nelson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155
Angela Ronay, M.S.W, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10081 Dogwood St Nw, Suite 100, Coon Rapids, MN 55448 Phone: 763-783-3722 Fax: 763-783-7944
Jennifer Andrews, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9120 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 612-400-6121
Elizabeth Anne Johnson, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066
Alexa Benevides Mcdermid, MSW, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 199 Coon Rapids Blvd Nw Ste 208, Coon Rapids, MN 55433 Phone: 952-491-0730
Mr. Joseph John Wittenberg, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11220 Crocus St Nw, Coon Rapids, MN 55433 Phone: 763-767-4702
Richard Alan Wandersee, MSW LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11475 Robinson Dr Nw, Mail Stop 32600a, Coon Rapids, MN 55433 Phone: 763-754-4600 Fax: 763-754-4614

Kylie Ann Otte, LICSW - Medicare Clinical Social Worker in Coon Rapids, MN