Randolph Otto, MD in Tacoma, WA - Medicare Diagnostic Radiology

Randolph Otto, MD is a medicare enrolled "Radiology - Pediatric Radiology" physician in Tacoma, Washington. He went to University Of Michigan Medical School and graduated in 1985 and has 39 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice The Association Of Chrmc And University Physicians and his current practice location is 2202 S Cedar St Ste 200, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 383-1099.

Randolph Otto is licensed to practice in Washington (license number 00027380) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1881767606.

Contact Information

	Randolph Otto, MD
	2202 S Cedar St Ste 200, Tacoma, WA 98405-2318
	(253) 383-1099
	(253) 383-3919

Map and Direction

Physician's Profile

Full Name	Randolph Otto
Gender	Male
Speciality	Diagnostic Radiology
Experience	39 Years
Location	2202 S Cedar St Ste 200, Tacoma, Washington
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Randolph Otto attended and graduated from University Of Michigan Medical School in 1985

NPI Data:

NPI Number: 1881767606
Provider Enumeration Date: 11/17/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9739178096
Enrollment ID: I20040511000820

Medical Identifiers

Medical identifiers for Randolph Otto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881767606	NPI	-	NPPES
8125395	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085P0229X	Radiology - Pediatric Radiology	00027380 (Washington)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Seattle Children's Hospital	Seattle, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Association Of Chrmc And University Physicians	9133032964	219

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. Randolph Otto allows following entities to bill medicare on his behalf.

Entity Name	The Association Of University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023041159 PECOS PAC ID: 0446162697 Enrollment ID: O20031105000244

Entity Name	The Association Of Chrmc And University Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585

Entity Name	Seattle Children's Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532

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. Randolph 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
Randolph Otto, MD 3402 S 18th St, Tacoma, WA 98405-1903 Ph: () -	Randolph Otto, MD 2202 S Cedar St Ste 200, Tacoma, WA 98405-2318 Ph: (253) 383-1099

Reviews and Comments

Radiology Doctors in Tacoma, WA

Dr. Yuyao Zhang, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4201 Fax: 253-761-4201
Mark Ranier Dalisay, Radiology Medicare: Not Enrolled in Medicare Practice Location: 7520 S I St, Tacoma, WA 98408 Phone: 702-305-1889
Dr. Joel Thomas Mcfarland, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300 Fax: 253-596-3301
Dr. Jana Lynn Fahmy, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201
Dr. Scott Randall Henneman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1304 Fawcett Ave Ste 100, Tacoma, WA 98402 Phone: 253-761-4200 Fax: 253-761-4201
Dr. Mark Gerard O'callaghan, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 209 Martin Luther King Jr Way, Tacoma, WA 98405 Phone: 253-596-3300
Peter Alan Ory, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1304 Fawcett Ave, Suite 100, Tacoma, WA 98402 Phone: 253-680-3372 Fax: 253-383-3553

Randolph Otto, MD - Medicare Diagnostic Radiology in Tacoma, WA