Madeline Sophia Otto, is a
Physician Assistant based in Ottawa, Ohio. Madeline Sophia Otto is licensed to practice in NU (license number ) and her current practice location is
12446 Road E, Ottawa, Ohio. She can be reached at her office (for appointments etc.) via phone at
(567) 376-5655.
NPI number for Madeline Sophia Otto is 1952225179 and her current mailing address is 12446 Road E, Ottawa, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952225179.
Provider's Profile
| Full Name | Madeline Sophia Otto |
|---|
| Gender | Female |
|---|
| Speciality | Physician Assistant |
|---|
| Location | 12446 Road E, Ottawa, Ohio |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952225179
- Provider Enumeration Date: 08/10/2026
- Last Update Date: 08/10/2026
Medical Identifiers
Medical identifiers for Madeline Sophia Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1952225179 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | (NU) | Primary |
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. Madeline Sophia Otto is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Madeline Sophia Otto, 12446 Road E, Ottawa, OH 45875-9638 Ph: Not Available | Madeline Sophia Otto, 12446 Road E, Ottawa, OH 45875-9638 Ph: (567) 376-5655 |
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