Randolph Otto, MD | |
2202 S Cedar St Ste 200, Tacoma, WA 98405-2318 | |
(253) 383-1099 | |
(253) 383-3919 |
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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881767606 | NPI | - | NPPES |
8125395 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085P0229X | Radiology - Pediatric Radiology | 00027380 (Washington) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Seattle Children's Hospital | Seattle, WA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Association Of Chrmc And University Physicians | 9133032964 | 219 |
Entity Name | The Association Of University Physicians |
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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 |
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 |
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 | |
Dr. Joseph Tsai, MD, PHD Radiology Medicare: Medicare Enrolled Practice Location: 1003 S 5th St, Tacoma, WA 98405 Phone: 253-403-4994 Fax: 253-403-4991 |