Dr Kenneth Alan Otto Jr, MD in Muskegon, MI

Dr Kenneth Alan Otto Jr, MD is a medicare enrolled "Ophthalmology" physician in Muskegon, Michigan. His current practice location is 1266 E Sherman Blvd, Muskegon, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 739-9009.

Dr Kenneth Alan Otto Jr is licensed to practice in Michigan (license number 4301403805) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164403838.

Contact Information

	Dr Kenneth Alan Otto Jr, MD
	1266 E Sherman Blvd, Muskegon, MI 49444-1847
	(231) 739-9009
	(231) 733-0566

Map and Direction

Physician's Profile

Full Name	Dr Kenneth Alan Otto Jr
Gender	Male
Speciality	Ophthalmology
Location	1266 E Sherman Blvd, Muskegon, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164403838
Provider Enumeration Date: 11/09/2005
Last Update Date: 10/12/2020

Medicare PECOS Information:

PECOS PAC ID: 3375507338
Enrollment ID: I20120416000056

Medical Identifiers

Medical identifiers for Dr Kenneth Alan Otto Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164403838	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207W00000X	Ophthalmology	4301403805 (Michigan)	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. Dr Kenneth Alan Otto Jr allows following entities to bill medicare on his behalf.

Entity Name	Shoreline Ophthalmology Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679643670 PECOS PAC ID: 3678537628 Enrollment ID: O20060613000017

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 Kenneth Alan Otto Jr 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
Dr Kenneth Alan Otto Jr, MD 1266 E Sherman Blvd, Muskegon, MI 49444-1847 Ph: (231) 739-9009	Dr Kenneth Alan Otto Jr, MD 1266 E Sherman Blvd, Muskegon, MI 49444-1847 Ph: (231) 739-9009

Reviews and Comments

Ophthalmology Doctors in Muskegon, MI

Dr. Mark Stephen Kinziger, MD Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 1266 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-9009 Fax: 231-733-0566
Mr. David Alan Goran, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1150 E Sherman Blvd, Ste 1500, Muskegon, MI 49444 Phone: 231-737-9378 Fax: 231-737-1023
Mrs. Leeann Salot Webster, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1266 East Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-9009 Fax: 231-733-0566
Dr. Nathan Paul Reed, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1266 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-9009 Fax: 231-733-0566
Dr. John Nicholas Oltean, DO Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1266 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-9009 Fax: 231-733-0566
Dr. David James Rawlinson, D.O. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1266 E Sherman Blvd, Muskegon, MI 49444 Phone: 231-739-9009

Dr Kenneth Alan Otto Jr, MD - Medicare Ophthalmology in Muskegon, MI