Nicole Christine Otto, in Glendale, WI - Medicare Counselor Provider

Nicole Christine Otto, is a medicare enrolled "Counselor - Professional" provider in Glendale, Wisconsin. Her current practice location is 6025 N Green Bay Ave Uppr Level, Glendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 247-0801.

Nicole Christine Otto is licensed to practice in Wisconsin (license number 10571) 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 1780347674.

Contact Information

	Nicole Christine Otto,
	6025 N Green Bay Ave Uppr Level, Glendale, WI 53209-3811
	(414) 247-0801
	(414) 247-0816

Map and Direction

Healthcare Provider's Profile

Full Name	Nicole Christine Otto
Gender	Female
Speciality	Counselor - Professional
Location	6025 N Green Bay Ave Uppr Level, Glendale, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780347674
Provider Enumeration Date: 10/18/2021
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 4688019458
Enrollment ID: I20240302000540

Medical Identifiers

Medical identifiers for Nicole Christine Otto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780347674	NPI	-	NPPES
10571	Other	WI	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	10571 (Wisconsin)	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. Nicole Christine Otto allows following entities to bill medicare on her behalf.

Entity Name	Richard Kneip, Ph.d., P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679739700 PECOS PAC ID: 4880768415 Enrollment ID: O20220826002066

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. Nicole Christine 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
Nicole Christine Otto, 6025 N Green Bay Ave Uppr Level, Glendale, WI 53209-3811 Ph: (414) 247-0801	Nicole Christine Otto, 6025 N Green Bay Ave Uppr Level, Glendale, WI 53209-3811 Ph: (414) 247-0801

Reviews and Comments

Counselor in Glendale, WI

Mr. Edward Kartheiser, MA Counselor Medicare: Medicare Enrolled Practice Location: 5800 N. Bayshore Drive, Suite B, Glendale, WI 53217 Phone: 414-962-4048
Rebecca Zimmermann, PSY.D., LPC Counselor Medicare: Medicare Enrolled Practice Location: 6110 N Port Washington Rd, Glendale, WI 53217 Phone: 414-962-1000
Ms. Frances B Pitt, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 6310 N Port Washington Rd, Glendale, WI 53217 Phone: 414-961-1600 Fax: 414-961-1616
James Holtz, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5650 N Green Bay Ave, Glendale, WI 53209 Phone: 262-789-1191 Fax: 414-921-5652
Jeffrey Michael Nerone, MA, LPC, NCC, SAC-IT Counselor Medicare: Medicare Enrolled Practice Location: 5555 N Port Washington Rd Ste 200, Glendale, WI 53217 Phone: 262-789-1191
Mrs. Lauri Rachelle Budzynski, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7929 N Port Washington Rd Ste A, Glendale, WI 53217 Phone: 414-867-3556 Fax: 715-256-8324
Mr. B. Hal Dessel, LCSW, CADC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 921 W Glendale Ave, Glendale, WI 53209 Phone: 414-221-9293 Fax: 414-221-9532

Nicole Christine Otto, - Medicare Counselor in Glendale, WI