Annette Bennett-otto, - Medicare Nurse Practitioner in Waukesha, WI

Annette Bennett-otto, is a medicare enrolled "Nurse Practitioner" in Waukesha, Wisconsin. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Agrace Palliative Care Llc and her current practice location is 2717 N Grandview Blvd, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 513-0700.

Annette Bennett-otto is licensed to practice in Wisconsin (license number 8381-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1073067583.

Contact Information

Annette Bennett-otto,
2717 N Grandview Blvd,
Waukesha, WI 53188-1672
(262) 513-0700
(262) 513-0707

Map and Direction




Provider's Profile

Full NameAnnette Bennett-otto
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location2717 N Grandview Blvd, Waukesha, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Annette Bennett-otto graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1073067583
  • Provider Enumeration Date: 08/12/2016
  • Last Update Date: 01/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 1658667779
  • Enrollment ID: I20181008000392

Medical Identifiers

Medical identifiers for Annette Bennett-otto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073067583NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 8381-33 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Waukesha Memorial HospitalWaukesha, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agrace Palliative Care Llc438588272910

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. Annette Bennett-otto allows following entities to bill medicare on her behalf.
Entity NameAgrace Palliative Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326386129
PECOS PAC ID: 4385882729
Enrollment ID: O20130524000443

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. Annette Bennett-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
Annette Bennett-otto,
W532 Rome Oak Hill Rd,
Palmyra, WI 53156-9729

Ph: (815) 342-1364
Annette Bennett-otto,
2717 N Grandview Blvd,
Waukesha, WI 53188-1672

Ph: (262) 513-0700

Reviews and Comments


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Kaitlyn Solveson, APNP
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Phone: 877-307-3226    Fax: 866-384-9486

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.