| Scott C Otto, MD | |
|
11700 W 2nd Pl Ste 210, Lakewood, CO 80228-1716 | |
| (720) 321-8080 | |
| (720) 321-8081 |
| Full Name | Scott C Otto |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 27 Years |
| Location | 11700 W 2nd Pl Ste 210, Lakewood, Colorado |
| 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 |
|---|---|---|---|
| 1497749162 | NPI | - | NPPES |
| 036109065 | Medicaid | IL | |
| 9000199569 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 036109065 (Illinois) | Secondary |
| 208600000X | Surgery | DR.0066919 (Colorado) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St. Anthony Summit Medical Center | Frisco, CO | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Catholic Health Initiatives Colorado | 8022927342 | 1231 |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott C Otto, MD Po Box 800022, Kansas City, MO 64180-0022 Ph: (800) 953-0104 | Scott C Otto, MD 11700 W 2nd Pl Ste 210, Lakewood, CO 80228-1716 Ph: (720) 321-8080 |
Dr. Joseph A Cocco, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 255 Union Blvd Ste 300, Lakewood, CO 80228 Phone: 800-991-6117 Fax: 888-812-8191 | |
Dr. Mark Edward Mcmellen, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 11600 W Second Pl, Trauma Dept., Lakewood, CO 80228 Phone: 314-251-6440 Fax: 314-251-4456 | |
Cara Gose, DO Surgery Medicare: Medicare Enrolled Practice Location: 11600 W 2nd Pl, Lakewood, CO 80228 Phone: 720-321-1708 Fax: 720-321-0026 | |
Rachel Landin, DO Surgery Medicare: Medicare Enrolled Practice Location: 11600 W 2nd Pl, Lakewood, CO 80228 Phone: 720-321-0000 Fax: 720-321-3341 | |
Lane Richard Mellor, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 11600 W 2nd Pl, Lakewood, CO 80228 Phone: 720-321-0000 | |
Judith Lynn Williams, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 12610 W Bayaud Ave, #10, Lakewood, CO 80228 Phone: 303-501-2793 | |
Dr. Daniel Cornelius, D.O. Surgery Medicare: Not Enrolled in Medicare Practice Location: 11600 W 2nd Pl, Lakewood, CO 80228 Phone: 720-321-0000 |