Randall Jason Otto, MD | |
1011 Bowles Ave Ste 400, Fenton, MO 63026-2387 | |
(314) 977-7200 | |
(636) 326-6533 |
Full Name | Randall Jason Otto |
---|---|
Gender | Male |
Speciality | Orthopedic Surgery |
Experience | 20 Years |
Location | 1011 Bowles Ave Ste 400, Fenton, Missouri |
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 |
---|---|---|---|
1841494689 | NPI | - | NPPES |
136637 | Other | MO | HEALTHCARE USA |
4258558 | Other | MO | CIGNA |
501357701 | Medicaid | MO | |
122950063 | Other | MO | MEDICARE PTAN |
A82171 | Other | MO | HEALTHLINK |
771091 | Other | MO | ANTHEM BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | 2012011162 (Missouri) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Ssm St Clare Health Center | Fenton, MO | Hospital |
Ssm Health St Mary's Hospital - St Louis | Richmond heights, MO | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Ssm Health Care Group | 0143608372 | 690 |
Fchr Pa | 9638121684 | 24 |
Entity Name | Ssm Health Care Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306589544 PECOS PAC ID: 0143608372 Enrollment ID: O20220531002655 |
Mailing Address | Practice Location Address |
---|---|
Randall Jason Otto, MD 1008 S Spring Ave Fl 1, Saint Louis, MO 63110-2520 Ph: (314) 977-5350 | Randall Jason Otto, MD 1011 Bowles Ave Ste 400, Fenton, MO 63026-2387 Ph: (314) 977-7200 |
Dr. Kurt D Merkel, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave, Suite 400, Fenton, MO 63026 Phone: 636-680-5400 Fax: 636-680-5405 | |
Dr. Clayton R Perry, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 400, Fenton, MO 63026 Phone: 636-680-5400 Fax: 636-680-5405 |