Tara Marie Otto, MD - Medicare Diagnostic Radiology in Fort Walton Beach, FL

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Tara Marie Otto, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Fort Walton Beach, Florida. She went to University Of South Alabama College Of Medicine and graduated in 2007 and has 19 years of diverse experience with area of expertise as Diagnostic Radiology. She is a member of the group practice Radiology Associates Of Southwest Louisiana, Imaging Associates Of Indiana Pc, Radiology Affiliates Of Central New Jersey Pc, Specialists In Medical Imaging Sc, Louisville Radiology Imaging Consultants Pllc, Empire State Radiology P C, Northside Radiology Associates Llc, Columbus Radiology Corp, Greensboro Radiology Pa, Mori Bean And Brooks Inc, Imaging Associates Of Michigan Pllc, Empire State Radiology P C, Hurley Medical Center and her current practice location is 220 Fliva Ave Nw, Fort Walton Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (952) 595-1100.

Tara Marie Otto is licensed to practice in Florida (license number ME113202) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1356509038.

Contact Information

Tara Marie Otto, MD
220 Fliva Ave Nw,
Fort Walton Beach, FL 32548
(952) 595-1100
(612) 294-4903

Map and Direction




Physician's Profile

Full NameTara Marie Otto
GenderFemale
SpecialityDiagnostic Radiology
Experience19 Years
Location220 Fliva Ave Nw, Fort Walton Beach, Florida
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tara Marie Otto attended and graduated from University Of South Alabama College Of Medicine in 2007
  NPI Data:
  • NPI Number: 1356509038
  • Provider Enumeration Date: 05/29/2008
  • Last Update Date: 04/14/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8224289608
  • Enrollment ID: I20121112000538

Medical Identifiers

Medical identifiers for Tara Marie Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356509038NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 2021040905 (Missouri)Secondary
2085R0202XRadiology - Diagnostic Radiology 036133782 (Illinois)Secondary
2085R0202XRadiology - Diagnostic Radiology ME113202 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Francis Hospital - The Heart CenterRoslyn, NYHospital
Good Samaritan Hospital Medical CenterWest islip, NYHospital
Owensboro Health Regional HospitalOwensboro, KYHospital
Holy Redeemer Hospital And Medical CenterMeadowbrook, PAHospital
Christus St Frances Cabrini HospitalAlexandria, LAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Radiology Associates Of Southwest Louisiana094124356292
Imaging Associates Of Indiana Pc1254503345171
Radiology Affiliates Of Central New Jersey Pc175927723996
Specialists In Medical Imaging Sc2163733544205
Louisville Radiology Imaging Consultants Pllc226443612071
Empire State Radiology P C4385075241246
Northside Radiology Associates Llc4486555398256
Columbus Radiology Corp6507754983255
Greensboro Radiology Pa8729074901201
Mori Bean And Brooks Inc8820077878617
Imaging Associates Of Michigan Pllc9537434386105
Empire State Radiology P C4385075241246
Hurley Medical Center2961308481277

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. Tara Marie Otto allows following entities to bill medicare on her behalf.
Entity NameRadiology Associates Of South Florida Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699759183
PECOS PAC ID: 5799689659
Enrollment ID: O20031121000573
Entity NameMori Bean And Brooks Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093782070
PECOS PAC ID: 8820077878
Enrollment ID: O20040714001317
Entity NameWest Florida Radiology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396724654
PECOS PAC ID: 0941224612
Enrollment ID: O20060120000415
Entity NameRadadvantage A Professional Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376719666
PECOS PAC ID: 2163597899
Enrollment ID: O20091120000596
Entity NameRadiology Associates Of Southwest Louisiana
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033215710
PECOS PAC ID: 0941243562
Enrollment ID: O20130424000396
Entity NameRenaissance Imaging Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487608931
PECOS PAC ID: 7315841756
Enrollment ID: O20130819000441
Entity NameEagle Partners Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548450976
PECOS PAC ID: 9032205752
Enrollment ID: O20140408001277
Entity NameEllis Bandt Birkin Kollins & Wong Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1578584678
PECOS PAC ID: 4486568946
Enrollment ID: O20150528000809
Entity NameSpecialists In Medical Imaging Sc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841687951
PECOS PAC ID: 2163733544
Enrollment ID: O20160113000419
Entity NameCoastal Radiology Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144270307
PECOS PAC ID: 8224002696
Enrollment ID: O20180213002983
Entity NameImaging Associates Of Michigan Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164943007
PECOS PAC ID: 9537434386
Enrollment ID: O20180228002473
Entity NameSingleton Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1538107875
PECOS PAC ID: 6305731118
Enrollment ID: O20180615001882
Entity NameImaging Associates Of New Mexico Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629592464
PECOS PAC ID: 4981970233
Enrollment ID: O20180622000888
Entity NameLouisville Radiology Imaging Consultants Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639115447
PECOS PAC ID: 2264436120
Enrollment ID: O20180816000893
Entity NameColumbus Radiology Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669408159
PECOS PAC ID: 6507754983
Enrollment ID: O20181206003284
Entity NameImaging Associates Of Indiana Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699072611
PECOS PAC ID: 1254503345
Enrollment ID: O20190819002328
Entity NameRadiology Affiliates Of Central New Jersey Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811994791
PECOS PAC ID: 1759277239
Enrollment ID: O20191223000306
Entity NameEmpire State Radiology P C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1255962783
PECOS PAC ID: 4385075241
Enrollment ID: O20200515002516
Entity NameGreensboro Radiology Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821035999
PECOS PAC ID: 8729074901
Enrollment ID: O20200727000827
Entity NameNorthside Radiology Associates Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013960657
PECOS PAC ID: 4486555398
Enrollment ID: O20200914002464
Entity NameSonoran Radiology Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033745708
PECOS PAC ID: 3375964505
Enrollment ID: O20201110002097
Entity NameImaging Group Of Delaware Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164421574
PECOS PAC ID: 0547152472
Enrollment ID: O20210914000950

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. Tara Marie 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 AddressPractice Location Address
Tara Marie Otto, MD
11995 Singletree Ln, Ste 500,
Eden Prairie, MN 55344-5347

Ph: (952) 595-1301		Tara Marie Otto, MD
220 Fliva Ave Nw,
Fort Walton Beach, FL 32548

Ph: (952) 595-1100

Reviews and Comments


Radiology Doctors in Fort Walton Beach, FL

Bethany A Cazenave, MD
Radiology
Medicare: Not Enrolled in Medicare
Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547
Phone: 614-210-1885    Fax: 614-210-1886
Warren R. Amos, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1026 Mar Walt Dr, Fort Walton Beach, FL 32547
Phone: 850-863-5294    Fax: 850-864-1648
Dr. Vincent Thomas Jones, MD
Radiology
Medicare: Medicare Enrolled
Practice Location: 1005 Mar Walt Drive, Radiology Department, Fort Walton Beach, FL 32547
Phone: 850-863-8110    Fax: 850-863-8245
Maan Elkhatib, MD
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547
Phone: 850-862-1111    
Dr. Walter William Perrott, M.D.
Radiology
Medicare: Medicare Enrolled
Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547
Phone: 866-775-5053    Fax: 614-764-9147
Dr. John Patrick Mawn, M.D
Radiology
Medicare: Accepting Medicare Assignments
Practice Location: 1000 Mar Walt Dr, Fort Walton Beach, FL 32547
Phone: 814-335-4131    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.