Dr Allyson Otten, DPM is a
Student In An Organized Health Care Education/training Program based in Rockford, Illinois. Dr Allyson Otten is licensed to practice in * (Not Available) (license number ) and her current practice location is
5666 E State St, Rockford, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 395-5190.
NPI number for Dr Allyson Otten is 1699478305 and her current mailing address is W8340 S County Road A, Adell, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1699478305.
Healthcare Provider's Profile
| Full Name | Dr Allyson Otten |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 5666 E State St, Rockford, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1699478305
- Provider Enumeration Date: 03/22/2023
- Last Update Date: 03/02/2026
Medical Identifiers
Medical identifiers for Dr Allyson Otten such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699478305 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 213E00000X | Podiatrist | 1372-25 (Wisconsin) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Dr Allyson Otten 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 |
Dr Allyson Otten, DPM W8340 S County Road A, Adell, WI 53001-1490 Ph: (262) 483-9424 | Dr Allyson Otten, DPM 5666 E State St, Rockford, IL 61108-2425 Ph: (815) 395-5190 |
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