Tegan Otto, PT, DPT in Maple Grove, MN - Medicare Physical Therapy Provider

Tegan Otto, PT, DPT is a medicare enrolled "Physical Therapist" provider in Maple Grove, Minnesota. She went to University Of Wisconsin School Of Medicine and graduated in 2016 and has 8 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice Park Nicollet Clinic and her current practice location is 15301 Grove Cir N, Maple Grove, Minnesota. You can reach out to her office (for appointments etc.) via phone at (952) 993-5900.

Tegan Otto is licensed to practice in Minnesota (license number 10264) 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 1740639889.

Contact Information

	Tegan Otto, PT, DPT
	15301 Grove Cir N, Maple Grove, MN 55369-4475
	(952) 993-5900
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tegan Otto
Gender	Female
Speciality	Physical Therapy
Experience	8 Years
Location	15301 Grove Cir N, Maple Grove, Minnesota
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:

Tegan Otto attended and graduated from University Of Wisconsin School Of Medicine in 2016

NPI Data:

NPI Number: 1740639889
Provider Enumeration Date: 06/09/2016
Last Update Date: 03/09/2021

Medicare PECOS Information:

PECOS PAC ID: 4486949146
Enrollment ID: I20160820000225

Medical Identifiers

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

Identifier	Type	State	Issuer
1740639889	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	10264 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Park Nicollet Clinic	7911819438	1529

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. Tegan Otto allows following entities to bill medicare on her behalf.

Provider Name	Park Nicollet Clinic
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046

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. Tegan 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
Tegan Otto, PT, DPT 8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516 Ph: () -	Tegan Otto, PT, DPT 15301 Grove Cir N, Maple Grove, MN 55369-4475 Ph: (952) 993-5900

Reviews and Comments

Physical Therapist in Maple Grove, MN

Tamara Mukete, DPT, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 15301 Grove Cir N, Maple Grove, MN 55369 Phone: 952-993-5900
Sarah Joan Noonan, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6602 Hemlock Ln N, Maple Grove, MN 55369 Phone: 763-425-0352 Fax: 763-425-1656
Carol Buendorf, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 16500 92nd Ave N, Maple Grove, MN 55311 Phone: 763-343-7896
Dhruviben Bharatbhai Patel, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 18573 70th Ave N, Maple Grove, MN 55311 Phone: 470-621-5687
Jennifer Lynn Quisberg, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 15301 Grove Cir N, Maple Grove, MN 55369 Phone: 952-993-5900 Fax: 952-993-0300
Kristopher Gerald Balgaard, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6450 Wedgwood Rd N, Maple Grove, MN 55311 Phone: 952-835-4512 Fax: 888-425-0398
Andrea Beatt, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13844 89th Pl N, Maple Grove, MN 55369 Phone: 763-516-8005

Tegan Otto, PT, DPT - Medicare Physical Therapist in Maple Grove, MN