Dr David Hardison Otto, MD is a medicare enrolled "Internal Medicine" physician in Wiscasset, Maine. He went to Warren Alpert Medical School Of Brown University and graduated in 1999 and has 27 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Mainehealth and his current practice location is
49 Hooper St, Wiscasset, Maine. You can reach out to his office (for appointments etc.) via phone at
(207) 882-7911.
Dr David Hardison Otto is licensed to practice in Maine (license number MD26136) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1831206903.
Physician's Profile
| Full Name | Dr David Hardison Otto |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 27 Years |
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| Location | 49 Hooper St, Wiscasset, Maine |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr David Hardison Otto attended and graduated from Warren Alpert Medical School Of Brown University in 1999
NPI Data:
- NPI Number: 1831206903
- Provider Enumeration Date: 08/24/2006
- Last Update Date: 08/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 4587761168
- Enrollment ID: I20231013001360
Medical Identifiers
Medical identifiers for Dr David Hardison Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1831206903 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 228128 (New York) | Secondary |
| 207R00000X | Internal Medicine | MD26136 (Maine) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Mainehealth | 7517860588 | 2288 |
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. Dr David Hardison Otto allows following entities to bill medicare on his behalf.
| Entity Name | Mainehealth |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790265502
PECOS PAC ID: 7517860588
Enrollment ID: O20040701000166 |
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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. Dr David Hardison 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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Dr David Hardison Otto, MD
309 W 106th St, Apt 1c,
New York, NY 10025-3484
Ph: (917) 647-9828 | Dr David Hardison Otto, MD
49 Hooper St,
Wiscasset, ME 04578-4053
Ph: (207) 882-7911 |
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