| Dr Benjamin Otte, MD | |
|
673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 | |
| (907) 580-1162 | |
| Not Available |
| Full Name | Dr Benjamin Otte |
|---|---|
| Gender | Male |
| Speciality | Ophthalmology |
| Location | 673 Mdg, Jber, Alaska |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548896319 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207W00000X | Ophthalmology | 0101273156 (Virginia) | Secondary |
| 207W00000X | Ophthalmology | 225178 (Alaska) | Primary |
| Entity Name | Alaska Native Tribal Health Consortium |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437189339 PECOS PAC ID: 6709780265 Enrollment ID: O20031125000772 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Otte, MD 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Ph: (907) 580-1162 | Dr Benjamin Otte, MD 673 Mdg, 5955 Zeamer Avenue, Jber, AK 99506 Ph: (907) 580-1162 |
Dr. Charlton Stevens, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 673 Mdg, 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-1162 | |
Dr. John Logan Bennion, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave # Dod-va, Jber, AK 99506 Phone: 907-580-1162 | |
Andrew Plaster, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 5955 Zeamer Ave, Jber, AK 99506 Phone: 907-580-1162 Fax: 907-580-1152 |