Mrs Kimberly M Otter, RD LDN - Dietitian in Quincy, IL

Mrs Kimberly M Otter, RD LDN is a Dietitian, Registered based in Quincy, Illinois. Mrs Kimberly M Otter is licensed to practice in Illinois (license number ) and her current practice location is 935 Jersey St, Quincy, Illinois. She can be reached at her office (for appointments etc.) via phone at (217) 228-2413.

NPI number for Mrs Kimberly M Otter is 1245232909 and her current mailing address is 935 Jersey St, Quincy, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245232909.

Contact Information

Mrs Kimberly M Otter, RD LDN
935 Jersey St,
Quincy, IL 62301-4030
(217) 228-2413
(217) 228-2416

Map and Direction




Healthcare Provider's Profile

Full NameMrs Kimberly M Otter
GenderFemale
SpecialityDietitian, Registered
Location935 Jersey St, Quincy, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1245232909
  • Provider Enumeration Date: 08/12/2005
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Kimberly M Otter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245232909NPI-NPPES
075113OtherILQUINCY HEALTH CARE MGMT.
000009329891OtherILPRIVATE HEALTHCARE SYSTEM
00132009OtherILBLUE CROSS BLUE SHIELD

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 2004029302 (Missouri)Secondary
133V00000XDietitian, Registered (Illinois)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. Mrs Kimberly M Otter is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Kimberly M Otter, RD LDN
935 Jersey St,
Quincy, IL 62301-4030

Ph: (217) 228-2413
Mrs Kimberly M Otter, RD LDN
935 Jersey St,
Quincy, IL 62301-4030

Ph: (217) 228-2413

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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