| Michael Otte, PA-C | |
|
6136 Lake Murray Blvd, La Mesa, CA 91942-2502 | |
| (714) 389-5700 | |
| Not Available |
| Full Name | Michael Otte |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 6136 Lake Murray Blvd, La Mesa, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093180432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 53042 (California) | Primary |
| Entity Name | Mass General Brigham Medical Group Northern Massachusetts Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588606123 PECOS PAC ID: 3577467224 Enrollment ID: O20050429000668 |
| Entity Name | Mass General Brigham Community Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891112637 PECOS PAC ID: 1759273436 Enrollment ID: O20150723007726 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Otte, PA-C 6136 Lake Murray Blvd, La Mesa, CA 91942-2502 Ph: Not Available | Michael Otte, PA-C 6136 Lake Murray Blvd, La Mesa, CA 91942-2502 Ph: (714) 389-5700 |
Mrs. Amy Elizabeth Vu, P.A.-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-6000 |
Julia A. Caputo, P.A. Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 5525 Grossmont Center Dr, La Mesa, CA 91942 Phone: 858-499-2706 |
Dana Ashli Derissi, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4071 |
Jasveen Dhillon, MS, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 4561 Dickey Dr, La Mesa, CA 91941 Phone: 619-328-3025 |
Joelle Nicole Negley, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8851 Center Dr, Suite 505, La Mesa, CA 91942 Phone: 619-461-3880 Fax: 619-461-3895 |
Brittany Slaughter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5555 Grossmont Center Dr, La Mesa, CA 91942 Phone: 619-740-4401 |
Kira Ann Tellache, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8860 Center Dr Ste 300, La Mesa, CA 91942 Phone: 619-462-1670 Fax: 619-462-3209 |