Mr Paul Delbert Otto, LMFT is a medicare enrolled "Counselor" provider in Saint Johns, Arizona. His current practice location is
470 W. Cleveland, Saint Johns, Arizona. You can reach out to his office (for appointments etc.) via phone at
(928) 337-4301.
Mr Paul Delbert Otto is licensed to practice in Arizona (license number LMFT10251) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1437213659.
Healthcare Provider's Profile
Full Name | Mr Paul Delbert Otto |
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Gender | Male |
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Speciality | Counselor |
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Location | 470 W. Cleveland, Saint Johns, Arizona |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1437213659
- Provider Enumeration Date: 12/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 9032560891
- Enrollment ID: I20240105003756
Medical Identifiers
Medical identifiers for Mr Paul Delbert Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1437213659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | LMFT10251 (Arizona) | 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. Mr Paul Delbert Otto allows following entities to bill medicare on his behalf.
Entity Name | Little Colorado Behavioral Health Center Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134292485 PECOS PAC ID: 4587657465 Enrollment ID: O20040406001303 |
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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. Mr Paul Delbert 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 |
Mr Paul Delbert Otto, LMFT Po Box 579, Saint Johns, AZ 85936-0579 Ph: (928) 337-4301 | Mr Paul Delbert Otto, LMFT 470 W. Cleveland, Saint Johns, AZ 85936-0579 Ph: (928) 337-4301 |
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