Dr David Hardison Otto, MD is a medicare enrolled "Internal Medicine" physician in Wiscasset, Maine. His current practice location is
49 Hooper St, Wiscasset, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 882-7911.
Dr David Hardison Otto is licensed to practice in Maine (license number MD26136) 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 1831206903.
Physician's Profile
Full Name | Dr David Hardison Otto |
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Gender | Male |
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Speciality | Internal Medicine |
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Location | 49 Hooper St, Wiscasset, Maine |
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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: 1831206903
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 08/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587761168
- Enrollment ID: I20070515000615
Medical Identifiers
Medical identifiers for Dr David Hardison Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1831206903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 228128 (New York) | Secondary |
207R00000X | Internal Medicine | MD26136 (Maine) | 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 David Hardison Otto allows following entities to bill medicare on his behalf.
Entity Name | The Floating Hospital Inc |
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Entity Type | Part B Supplier - Voluntary Health/charity Agency |
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Entity Identifiers | NPI Number: 1306954631 PECOS PAC ID: 0547367120 Enrollment ID: O20070515000559 |
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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 David Hardison 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 |
Dr David Hardison Otto, MD 309 W 106th St, Apt 1c, New York, NY 10025-3484 Ph: (917) 647-9828 | Dr David Hardison Otto, MD 49 Hooper St, Wiscasset, ME 04578-4053 Ph: (207) 882-7911 |
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