Dr Samuel James Otto, MD in Milwaukee, WI

Dr Samuel James Otto, MD is a medicare enrolled "Urology" physician in Milwaukee, Wisconsin. His current practice location is 2424 S 90th St, Suite 408, Milwaukee, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (414) 385-2716.

Dr Samuel James Otto is licensed to practice in Wisconsin (license number 19702) 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 1154565273.

Contact Information

	Dr Samuel James Otto, MD
	2424 S 90th St, Suite 408, Milwaukee, WI 53227-2455
	(414) 385-2716
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Samuel James Otto
Gender	Male
Speciality	Urology
Location	2424 S 90th St, Milwaukee, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154565273
Provider Enumeration Date: 04/21/2009
Last Update Date: 09/12/2018

Medicare PECOS Information:

PECOS PAC ID: 9234103177
Enrollment ID: I20090903000153

Medical Identifiers

Medical identifiers for Dr Samuel James Otto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154565273	NPI	-	NPPES
1154565273	Medicaid	WI
1154565273	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	7223921-1205 (Utah)	Secondary
208800000X	Urology	19702 (Wisconsin)	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 Samuel James Otto allows following entities to bill medicare on his behalf.

Entity Name	Tooele Urology Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457599912 PECOS PAC ID: 8426108192 Enrollment ID: O20090618000464

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 Samuel James 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
Dr Samuel James Otto, MD 2376 N 400 E, Ste A104, Tooele, UT 84074-3413 Ph: (435) 882-0071	Dr Samuel James Otto, MD 2424 S 90th St, Suite 408, Milwaukee, WI 53227-2455 Ph: (414) 385-2716

Reviews and Comments

Urology Doctors in Milwaukee, WI

Mark Ehlers, Urology Medicare: Accepting Medicare Assignments Practice Location: 2801 W Kinnickinnic River Pkwy Ste 330, Milwaukee, WI 53215 Phone: 414-649-1280 Fax: 414-649-1288
Dr. Michael L Guralnick, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Urology, Milwaukee, WI 53226 Phone: 414-805-0805 Fax: 414-805-0771
Dr. Pedro M. Banda, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 2311 N Prospect Ave, Milwaukee, WI 53211 Phone: 414-319-3000 Fax: 414-319-3087
Erica Lynn Eggers, Urology Medicare: Accepting Medicare Assignments Practice Location: 2350 N Lake Dr Ste 306, Milwaukee, WI 53211 Phone: 414-298-7171
Dr. Jay I Sandlow, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Dept Of Urology, Milwaukee, WI 53226 Phone: 414-805-0805 Fax: 414-805-0771
Joshua Alan Bodie, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Department Of Urology, Milwaukee, WI 53226 Phone: 414-805-0805 Fax: 414-805-0771
Mr. Michael Ernst Mitchell, M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 9000 W Wisconsin Ave, Milwaukee, WI 53226 Phone: 414-805-3666

Dr Samuel James Otto, MD - Medicare Urology in Milwaukee, WI