| Megan Otto, | |
|
330 N Broad St, Forest, MS 39074-3508 | |
| (601) 469-4151 | |
| (601) 469-3681 |
| Full Name | Megan Otto |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 9 Years |
| Location | 330 N Broad St, Forest, Mississippi |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609323450 | NPI | - | NPPES |
| 05531862 | Medicaid | MS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 901717 (Mississippi) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Kindred At Home -flowood | Flowood, MS | Home health agency |
| S E Lackey Memorial Hospital | Forest, MS | Hospital |
| Scott Regional Hospital Cah | Morton, MS | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Independent Healthcare Management Inc | 0840197232 | 27 |
| Entity Name | Independent Healthcare Management Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306909734 PECOS PAC ID: 0840197232 Enrollment ID: O20031215000487 |
| Entity Name | Fast Pace Mississippi Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447769559 PECOS PAC ID: 3678832029 Enrollment ID: O20180111000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Megan Otto, 330 N Broad St, Forest, MS 39074-3508 Ph: (601) 469-4151 | Megan Otto, 330 N Broad St, Forest, MS 39074-3508 Ph: (601) 469-4151 |
Rori E. Bridges, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 330 N Broad St, Forest, MS 39074 Phone: 601-469-4771 Fax: 601-469-4724 | |
Courtney S Dubose, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1061 Highway 35 S, Forest, MS 39074 Phone: 601-541-4313 | |
Claudia Bowman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1123 Highway 35 S, Forest, MS 39074 Phone: 601-469-4771 Fax: 601-469-4724 | |
Jena Herrington, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Medical Ln, Forest, MS 39074 Phone: 601-469-3320 | |
Mary Elizabeth Paul, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1129 Highway 35 S Ste 1, Forest, MS 39074 Phone: 601-469-3320 Fax: 601-469-3323 | |
Kristi M Cox, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Oak Park Dr, Forest, MS 39074 Phone: 601-701-8883 | |
Tamatha Nicole Owen, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1061 Highway 35 S, Forest, MS 39074 Phone: 931-253-1110 |