Sammy Otis, is a
Peer Specialist based in Seattle, Washington. Sammy Otis is licensed to practice in * (Not Available) (license number ) and his current practice location is
2100 24th Ave S, Seattle, Washington. He can be reached at his office (for appointments etc.) via phone at
(206) 382-5340.
NPI number for Sammy Otis is 1508600065 and his current mailing address is 2100 24th Ave S, Seattle, Washington. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1508600065.
Healthcare Provider's Profile
| Full Name | Sammy Otis |
|---|
| Gender | Male |
|---|
| Speciality | Peer Specialist |
|---|
| Location | 2100 24th Ave S, Seattle, Washington |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508600065
- Provider Enumeration Date: 06/20/2024
- Last Update Date: 07/01/2026
Medical Identifiers
Medical identifiers for Sammy Otis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1508600065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 175T00000X | Peer Specialist | (* (Not Available)) | 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. Sammy Otis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Sammy Otis, 2100 24th Ave S, Seattle, WA 98144-4637 Ph: (206) 382-5340 | Sammy Otis, 2100 24th Ave S, Seattle, WA 98144-4637 Ph: (206) 382-5340 |
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