Russell R Otto, PA in Waterford, CT - Medicare Physician Assistant

Russell R Otto, PA is a medicare enrolled "Physician Assistant" in Waterford, Connecticut. He graduated from nursing school in 1987 and has 37 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Ear,nose And Throat Associates Of Southeastern Connecticut, P.c. and his current practice location is 201 Boston Post Rd, Waterford, Connecticut. You can reach out to his office (for appointments etc.) via phone at (860) 442-0407.

Russell R Otto is licensed to practice in Connecticut (license number 004505) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1346264215.

Contact Information

	Russell R Otto, PA
	201 Boston Post Rd, Waterford, CT 06385
	(860) 442-0407
	(860) 444-2015

Map and Direction

Provider's Profile

Full Name	Russell R Otto
Gender	Male
Speciality	Physician Assistant
Experience	37 Years
Location	201 Boston Post Rd, Waterford, Connecticut
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Russell R Otto graduated from nursing school in 1987

NPI Data:

NPI Number: 1346264215
Provider Enumeration Date: 07/26/2006
Last Update Date: 10/29/2019

Medicare PECOS Information:

PECOS PAC ID: 5597770289
Enrollment ID: I20191104002378

Medical Identifiers

Medical identifiers for Russell R Otto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346264215	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	004505 (Connecticut)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lawrence & Memorial Hospital	New london, CT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ear,nose And Throat Associates Of Southeastern Connecticut, P.c.	3678607470	9

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. Russell R 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 Address	Practice Location Address
Russell R Otto, PA 201 Boston Post Rd, Waterford, CT 06385-2805 Ph: (860) 442-0407	Russell R Otto, PA 201 Boston Post Rd, Waterford, CT 06385 Ph: (860) 442-0407

Reviews and Comments

Physician Assistant Nurses in Waterford, CT

Susan K Schroeder, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 196 Parkway S, Suite 201, Waterford, CT 06385 Phone: 860-440-0688 Fax: 860-437-0318
Jodi V Hodge, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 196 Parkway S, Suite 303, Waterford, CT 06385 Phone: 860-443-4455 Fax: 860-447-8961
Julie Zito, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 196 Parkway S, Suite303, Waterford, CT 06385 Phone: 860-443-4455 Fax: 860-447-8961
Amanda Siminerio, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 196 Waterford Pkwy S Ste 306, Waterford, CT 06385 Phone: 860-257-4131
Christopher D. Smith, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 196 Parkway S, Suite 201, Waterford, CT 06385 Phone: 860-440-0688 Fax: 860-437-0318

Russell R Otto, PA - Medicare Physician Assistant in Waterford, CT