Dr Raymond C Otte, DDS is a medicare enrolled "Dentist - General Practice" provider in Goreville, Illinois. His current practice location is
112 W. Main St., Goreville, Illinois. You can reach out to his office (for appointments etc.) via phone at
(618) 995-9777.
Dr Raymond C Otte is licensed to practice in Illinois (license number 019-017654) 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 1063632818.
Healthcare Provider's Profile
Full Name | Dr Raymond C Otte |
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Gender | Male |
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Speciality | Dentist - General Practice |
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Location | 112 W. Main St., Goreville, Illinois |
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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: 1063632818
- Provider Enumeration Date: 04/26/2007
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 4587040951
- Enrollment ID: I20221008000058
Medical Identifiers
Medical identifiers for Dr Raymond C Otte such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063632818 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223G0001X | Dentist - General Practice | 019-017654 (Illinois) | 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. Dr Raymond C Otte allows following entities to bill medicare on his behalf.
Entity Name | Rural Health, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1982666384 PECOS PAC ID: 6800705427 Enrollment ID: O20040518000240 |
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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. Dr Raymond C 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 |
Dr Raymond C Otte, DDS 112 W. Main St., Goreville, IL 62939-0008 Ph: (618) 995-9777 | Dr Raymond C Otte, DDS 112 W. Main St., Goreville, IL 62939-0008 Ph: (618) 995-9777 |
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