Mr William Clark Otto, LPCC in Springfield, OH

Mr William Clark Otto, LPCC is a medicare enrolled "Counselor - Mental Health" provider in Springfield, Ohio. His current practice location is 701 E Columbia St, Springfield, Ohio. You can reach out to his office (for appointments etc.) via phone at (937) 325-8715.

Mr William Clark Otto is licensed to practice in Ohio (license number E3820) 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 1336353416.

Contact Information

	Mr William Clark Otto, LPCC
	701 E Columbia St, Springfield, OH 45503-4404
	(937) 325-8715
	(937) 325-6240

Map and Direction

Healthcare Provider's Profile

Full Name	Mr William Clark Otto
Gender	Male
Speciality	Counselor - Mental Health
Location	701 E Columbia St, Springfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336353416
Provider Enumeration Date: 05/09/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 0941644264
Enrollment ID: I20240214003747

Medical Identifiers

Medical identifiers for Mr William Clark Otto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336353416	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	E3820 (Ohio)	Primary
101Y00000X	Counselor	E3820 (Ohio)	Primary
101YA0400X	Counselor - Addiction (substance Use Disorder)	E3820 (Ohio)	Primary
101YM0800X	Counselor - Mental Health	E3820 (Ohio)	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 William Clark Otto allows following entities to bill medicare on his behalf.

Entity Name	Tcn Behavioral Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336118256 PECOS PAC ID: 8224011135 Enrollment ID: O20040611000055

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 William Clark 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 William Clark Otto, LPCC 2258 Horseshoe Ct, Beavercreek, OH 45434-5614 Ph: (937) 429-1092	Mr William Clark Otto, LPCC 701 E Columbia St, Springfield, OH 45503-4404 Ph: (937) 325-8715

Reviews and Comments

Counselor in Springfield, OH

Larry Muhammad, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1238 Cobb Ave, Springfield, OH 45506 Phone: 937-215-0176
Christie L Walton, CDC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 651 S Limestone St, Springfield, OH 45505 Phone: 937-324-1111 Fax: 373-287-2579
Taja Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1421 Parker Ct, Springfield, OH 45504 Phone: 513-941-4999
Mrs. Rachel Anne Legg, CT Counselor Medicare: Not Enrolled in Medicare Practice Location: 15 E. Pleasant St., Springfield, OH 45506 Phone: 937-325-5564 Fax: 937-325-8727
Catherine Weimer, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4867 Urbana Rd, Springfield, OH 45502 Phone: 937-931-5315
Ms. Kayleen Stidham-klier, Counselor Medicare: Medicare Enrolled Practice Location: 474 N Yellow Springs St, Springfield, OH 45504 Phone: 937-399-9500 Fax: 937-399-9500
Malinda Botkin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2624 Lexington Ave, Springfield, OH 45505 Phone: 937-328-5300 Fax: 937-322-4900

Mr William Clark Otto, LPCC - Medicare Counselor in Springfield, OH