Kerri S Otto, PA is a
Physician Assistant - Medical physician based in Lincoln, Nebraska. Kerri S Otto is licensed to practice in Nebraska (license number 1020) and her current practice location is 7100 Stephanie Ln Ste 100, Lincoln, Nebraska. She can be reached at her office (for appointments etc.) via phone at
(402) 484-9009.
NPI number for Kerri S Otto is 1972601102 and her current mailing address is Po Box 6068, Lincoln, Nebraska. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972601102.
Physician's Profile
| Full Name | Kerri S Otto |
|---|
| Gender | Female |
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| Speciality | Physician Assistant - Medical |
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| Location | 7100 Stephanie Ln Ste 100, Lincoln, Nebraska |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1972601102
- Provider Enumeration Date: 09/20/2006
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Kerri S Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972601102 | NPI | - | NPPES |
| 47065843713 | Medicaid | NE | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207NP0225X | Dermatology - Pediatric Dermatology | 1020 (Nebraska) | Secondary |
| 207NS0135X | Dermatology - Procedural Dermatology | 1020 (Nebraska) | Secondary |
| 363AM0700X | Physician Assistant - Medical | 1020 (Nebraska) | 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. Kerri S Otto 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 Address | Practice Location Address |
|---|
Kerri S Otto, PA
Po Box 6068,
Lincoln, NE 68506-0068
Ph: (402) 484-9009 | Kerri S Otto, PA
7100 Stephanie Ln Ste 100,
Lincoln, NE 68516-5332
Ph: (402) 484-9009 |
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