Kirstie Dawn Otto, IMFT is a medicare enrolled "Marriage & Family Therapist" provider in Westlake, Ohio. She went to University Of Kentucky College Of Medicine and graduated in 2020 and has 5 years of diverse experience with area of expertise as Marriage And Family Therapist. Her current practice location is
24211 Center Ridge Rd, Westlake, Ohio. You can reach out to her office (for appointments etc.) via phone at
(440) 250-2520.
Kirstie Dawn Otto is licensed to practice in Ohio (license number F.2300316) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1922611888.
Healthcare Provider's Profile
| Full Name | Kirstie Dawn Otto |
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| Gender | Female |
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| Speciality | Marriage And Family Therapist |
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| Experience | 5 Years |
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| Location | 24211 Center Ridge Rd, Westlake, Ohio |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kirstie Dawn Otto attended and graduated from University Of Kentucky College Of Medicine in 2020
NPI Data:
- NPI Number: 1922611888
- Provider Enumeration Date: 08/28/2020
- Last Update Date: 03/27/2025
Medicare PECOS Information:
- PECOS PAC ID: 5092238840
- Enrollment ID: I20250402000962
Medical Identifiers
Medical identifiers for Kirstie Dawn Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922611888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | F.2300316 (Ohio) | 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. Kirstie Dawn Otto allows following entities to bill medicare on her behalf.
| Entity Name | Achievement Centers For Children |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487614889
PECOS PAC ID: 2466345426
Enrollment ID: O20040204000200 |
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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. Kirstie Dawn 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 |
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Kirstie Dawn Otto, IMFT
24211 Center Ridge Rd,
Westlake, OH 44145-4211
Ph: (440) 250-2520 | Kirstie Dawn Otto, IMFT
24211 Center Ridge Rd,
Westlake, OH 44145-4211
Ph: (440) 250-2520 |
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