| Randall Jason Otto, MD | |
| 1011 Bowles Ave Ste 400, Fenton, MO 63026-2387 | |
| (314) 977-7200 | |
| (636) 326-6533 | 
| Full Name | Randall Jason Otto | 
|---|---|
| Gender | Male | 
| Speciality | |
| Experience | Years | 
| Location | 1011 Bowles Ave Ste 400, Fenton, Missouri | 
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1841494689 | NPI | - | NPPES | 
| 136637 | Other | MO | HEALTHCARE USA | 
| 4258558 | Other | MO | CIGNA | 
| 501357701 | Medicaid | MO | |
| 122950063 | Other | MO | MEDICARE PTAN | 
| A82171 | Other | MO | HEALTHLINK | 
| 771091 | Other | MO | ANTHEM BLUE CROSS BLUE SHIELD | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 2012011162 (Missouri) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Randall Jason Otto, MD 1008 S Spring Ave Fl 1, Saint Louis, MO 63110-2520 Ph: (314) 977-5350 | Randall Jason Otto, MD 1011 Bowles Ave Ste 400, Fenton, MO 63026-2387 Ph: (314) 977-7200 | 
| Dr. Kurt D Merkel, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1011 Bowles Ave, Suite 400, Fenton, MO 63026 Phone: 636-680-5400 Fax: 636-680-5405 | |
| Dr. Clayton R Perry, MD Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1011 Bowles Ave, Suite 400, Fenton, MO 63026 Phone: 636-680-5400 Fax: 636-680-5405 |