Bradley A Otto, MD | |
915 Olentangy River Rd Ste 4000, Columbus, OH 43212-3154 | |
(614) 366-3687 | |
(614) 293-6176 |
Full Name | Bradley A Otto |
---|---|
Gender | Male |
Speciality | Otolaryngology |
Experience | 22 Years |
Location | 915 Olentangy River Rd Ste 4000, Columbus, Ohio |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114969185 | NPI | - | NPPES |
2539971 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 35084019 (Ohio) | Secondary |
207Y00000X | Otolaryngology | 35084019 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ohio State University State Health System | Columbus, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Osu Otolaryngology Head And Neck Surgery Llc | 9830114529 | 58 |
Entity Name | Osu Otolaryngology Head And Neck Surgery Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861449407 PECOS PAC ID: 9830114529 Enrollment ID: O20051012000007 |
Mailing Address | Practice Location Address |
---|---|
Bradley A Otto, MD 700 Ackerman Rd Ste 2120, Columbus, OH 43202-1559 Ph: (614) 293-2594 | Bradley A Otto, MD 915 Olentangy River Rd Ste 4000, Columbus, OH 43212-3154 Ph: (614) 366-3687 |
Alexander Nelson Rock, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 915 Olentangy River Rd Ste 4000, Columbus, OH 43212 Phone: 614-293-9215 Fax: 614-293-1923 | |
Naomi Rabinovics, Otolaryngology Medicare: Medicare Enrolled Practice Location: 915 Olentangy River Rd, Columbus, OH 43212 Phone: 614-293-9215 Fax: 614-293-1923 | |
Taylor Elaine Freeman, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 915 Olentangy River Rd Ste 4000, Columbus, OH 43212 Phone: 614-293-9215 Fax: 614-293-1923 | |
Subinoy Das, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 770 Jasonway Ave Ste 1b, Columbus, OH 43214 Phone: 614-867-3681 Fax: 614-914-5025 | |
Ryan John Ivancic, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 915 Olentangy River Rd Ste 4000, Columbus, OH 43212 Phone: 614-293-9215 Fax: 614-293-1923 | |
Dr. Amit Agrawal, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 460 W 10th Ave Fl 5, Columbus, OH 43210 Phone: 614-293-8074 Fax: 614-293-3193 | |
Karen Hall Calhoun, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 915 Olentangy River Rd, Suite 4000, Columbus, OH 43212 Phone: 614-366-3687 Fax: 614-293-6176 |