| Benjamin Otto, DO | |
|
1500 E Sherman Blvd, Muskegon, MI 49444-1849 | |
| (231) 672-2000 | |
| Not Available |
| Full Name | Benjamin Otto |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Location | 1500 E Sherman Blvd, Muskegon, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306408414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 5101027624 (Michigan) | Primary |
| Entity Name | Saint Marys Health Services |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124063078 PECOS PAC ID: 4981500436 Enrollment ID: O20040329001233 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Otto, DO 6651 Winter Creek Rd, Norton Shores, MI 49444-8771 Ph: (609) 941-8690 | Benjamin Otto, DO 1500 E Sherman Blvd, Muskegon, MI 49444-1849 Ph: (231) 672-2000 |
Steven A Dunn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-726-3511 | |
Dr. Dennis S Klebba, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-2000 | |
Efraim Gelbard, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-2000 | |
Carol Agnes Jugan, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 291-726-4498 | |
Ray F Kiefer, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1700 Clinton St, Muskegon, MI 49442 Phone: 231-726-3511 | |
Dr. Miguel Rodriguez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1500 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-672-2000 |