Dr Scott William Otterson, DMD is a medicare enrolled "Dentist - Endodontics" provider in Ft Shafter, Hawaii. His current practice location is
146 Clark Rd, Bldg 339, Usa Dental Health Activity, Ft Shafter, Hawaii. You can reach out to his office (for appointments etc.) via phone at
(808) 438-3990.
Dr Scott William Otterson is licensed to practice in Utah (license number 12667815-9922) 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 1164979464.
Healthcare Provider's Profile
Full Name | Dr Scott William Otterson |
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Gender | Male |
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Speciality | Dentist - Endodontics |
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Location | 146 Clark Rd, Bldg 339, Ft Shafter, Hawaii |
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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: 1164979464
- Provider Enumeration Date: 09/02/2016
- Last Update Date: 10/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 9739523481
- Enrollment ID: I20240221001982
Medical Identifiers
Medical identifiers for Dr Scott William Otterson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164979464 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1223E0200X | Dentist - Endodontics | 12667815-8903 (Utah) | Secondary |
1223E0200X | Dentist - Endodontics | D-5561-EN (Idaho) | Secondary |
1223E0200X | Dentist - Endodontics | 12667815-9922 (Utah) | 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. Dr Scott William Otterson 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 Scott William Otterson, DMD 6479 W Carrick Way, Highland, UT 84003-5526 Ph: (610) 202-5735 | Dr Scott William Otterson, DMD 146 Clark Rd, Bldg 339, Usa Dental Health Activity, Ft Shafter, HI 96858 Ph: (808) 438-3990 |
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