Kimberly M Otto, APN in Naperville, IL - Medicare Nurse Practitioner

Kimberly M Otto, APN is a medicare enrolled "Nurse Practitioner - Family" in Naperville, Illinois. Her current practice location is 1964 Springbrook Square Dr Ste 108, Naperville, Illinois. You can reach out to her office (for appointments etc.) via phone at (630) 942-6902.

Kimberly M Otto is licensed to practice in Illinois (license number 209.011816) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1649672668.

Contact Information

	Kimberly M Otto, APN
	1964 Springbrook Square Dr Ste 108, Naperville, IL 60564-5955
	(630) 942-6902
	(630) 946-2566

Map and Direction

Provider's Profile

Full Name	Kimberly M Otto
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1964 Springbrook Square Dr Ste 108, Naperville, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649672668
Provider Enumeration Date: 09/22/2014
Last Update Date: 05/26/2021

Medicare PECOS Information:

PECOS PAC ID: 8527381391
Enrollment ID: I20141231000760

Medical Identifiers

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

Identifier	Type	State	Issuer
1649672668	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209.011816 (Illinois)	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. Kimberly M Otto allows following entities to bill medicare on her behalf.

Entity Name	Edward Health Ventures
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962452912 PECOS PAC ID: 4284531484 Enrollment ID: O20031216000616

Entity Name	Dupage Medical Group Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801833983 PECOS PAC ID: 5496667941 Enrollment ID: O20040412001479

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. Kimberly M 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
Kimberly M Otto, APN 1860 Payshere Circle, Chicago, IL 60674-0001 Ph: (630) 469-9200	Kimberly M Otto, APN 1964 Springbrook Square Dr Ste 108, Naperville, IL 60564-5955 Ph: (630) 942-6902

Reviews and Comments

Nurse Practitioner Nurses in Naperville, IL

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Denise Vigilia, APN-CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 120 Spalding Dr. Suite 207, Naperville, IL 60540 Phone: 630-646-6020 Fax: 630-646-6006
Sheila Treftz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 120 Spalding Dr, Suite 401, Naperville, IL 60540 Phone: 630-416-4501 Fax: 630-416-4504
Mrs. Krina Patel, MSN, APN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1309 Macom Dr Ste 101, Naperville, IL 60564 Phone: 630-236-8018 Fax: 630-236-8949

Kimberly M Otto, APN - Medicare Nurse Practitioner in Naperville, IL