Mrs Alice Camille Otto, NP is a medicare enrolled "Hospitalist" in Lebanon, Indiana. Her current practice location is
2605 N Lebanon St, Lebanon, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 485-8000.
Mrs Alice Camille Otto is licensed to practice in Indiana (license number 71003805A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1841594025.
Provider's Profile
Full Name | Mrs Alice Camille Otto |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 2605 N Lebanon St, Lebanon, Indiana |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Alice Camille Otto attended and graduated from in
NPI Data:
- NPI Number: 1841594025
- Provider Enumeration Date: 01/03/2011
- Last Update Date: 10/18/2023
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mrs Alice Camille Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841594025 | NPI | - | NPPES |
201042160 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 28196305A (Indiana) | Secondary |
363L00000X | Nurse Practitioner | 71003805A (Indiana) | Secondary |
363LA2100X | Nurse Practitioner - Acute Care | 71003805A (Indiana) | Secondary |
208M00000X | Hospitalist | 71003805A (Indiana) | Primary |
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. Mrs Alice Camille 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 |
Mrs Alice Camille Otto, NP 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: () - | Mrs Alice Camille Otto, NP 2605 N Lebanon St, Lebanon, IN 46052-1476 Ph: (765) 485-8000 |
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