Melody Otte, | |
111 Washington Ave Nw, Wagner, SD 57380-4300 | |
(605) 491-0644 | |
Not Available |
Full Name | Melody Otte |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 10 Years |
Location | 111 Washington Ave Nw, Wagner, South Dakota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649686080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | CP000867 (South Dakota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wagner Community Memorial Hospital - Cah | Wagner, SD | Hospital |
Douglas County Memorial Hospital-cah | Armour, SD | Hospital |
Community Memorial Hospital | Burke, SD | Hospital |
Avera Sacred Heart Hospital | Yankton, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Community Memorial Hospital Inc | 2163317900 | 6 |
Wagner Indian Health Service Health Center | 6305758483 | 12 |
Douglas County Memorial Hospital | 7810889771 | 7 |
Entity Name | Wagner Indian Health Service Health Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326066796 PECOS PAC ID: 6305758483 Enrollment ID: O20031105000746 |
Mailing Address | Practice Location Address |
---|---|
Melody Otte, 111 Washington Ave Nw, Wagner, SD 57380-4300 Ph: (605) 384-3621 | Melody Otte, 111 Washington Ave Nw, Wagner, SD 57380-4300 Ph: (605) 491-0644 |
Lindsey Nedved, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Carol Lee Stewart, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd Street Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Ashley Marie Ruhaak, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Jazmyn Soukup, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Jessica M Vanderham, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 | |
Brooke Lynn Plooster, CNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 Fax: 605-384-5240 | |
Ryan Kocer, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 513 3rd St Sw, Wagner, SD 57380 Phone: 605-384-3611 |