Melissa Nichole Otto, PPS is a
Psychologist - School based in Oklahoma City, Oklahoma. Melissa Nichole Otto is licensed to practice in Oklahoma (license number ) and her current practice location is
12000 N Virginia Ave, Oklahoma City, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(405) 835-6757.
NPI number for Melissa Nichole Otto is 1447794011 and her current mailing address is 2521 Nw 115th Pl, Oklahoma City, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447794011.
Healthcare Provider's Profile
| Full Name | Melissa Nichole Otto |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - School |
|---|
| Location | 12000 N Virginia Ave, Oklahoma City, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1447794011
- Provider Enumeration Date: 12/15/2016
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Melissa Nichole Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447794011 | NPI | - | NPPES |
| 1235535352 | Other | OK | NPI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 1447794011 (Oklahoma) | Secondary |
| 101YS0200X | Counselor - School | (Oklahoma) | Secondary |
| 101YS0200X | Counselor - School | (California) | Secondary |
| 103TS0200X | Psychologist - School | (California) | Secondary |
| 103TS0200X | Psychologist - School | (Oklahoma) | Primary |
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. Melissa Nichole Otto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Melissa Nichole Otto, PPS
2521 Nw 115th Pl,
Oklahoma City, OK 73120-6901
Ph: (405) 778-1691 | Melissa Nichole Otto, PPS
12000 N Virginia Ave,
Oklahoma City, OK 73120-7581
Ph: (405) 835-6757 |
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