Dr Joseph Balzer Otto, DDS - Medicare Dentist in Ponca City, OK

Dr Joseph Balzer Otto, DDS is a medicare enrolled "Dentist" provider in Ponca City, Oklahoma. His current practice location is 400 Fairview Suite 1, Ponca City, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (580) 765-6633.

Dr Joseph Balzer Otto is licensed to practice in Oklahoma (license number 4550) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1710064910.

Contact Information

Dr Joseph Balzer Otto, DDS
400 Fairview Suite 1,
Ponca City, OK 74601-1910
(580) 765-6633
(580) 765-0803



Healthcare Provider's Profile

Full NameDr Joseph Balzer Otto
GenderMale
SpecialityDentist
Location400 Fairview Suite 1, Ponca City, Oklahoma
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1710064910
  • Provider Enumeration Date: 11/01/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 0244520062
  • Enrollment ID: I20160608000019

Medical Identifiers

Medical identifiers for Dr Joseph Balzer Otto such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1710064910NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 4550 (Oklahoma)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 Joseph Balzer 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 AddressPractice Location Address
Dr Joseph Balzer Otto, DDS
400 Fairview Suite 1,
Ponca City, OK 74601-1910

Ph: (580) 765-6633
Dr Joseph Balzer Otto, DDS
400 Fairview Suite 1,
Ponca City, OK 74601-1910

Ph: (580) 765-6633

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› Verified 2 days ago


Dentist in Ponca City, OK

Dr. Carson Louis Nail, D.M.D.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1618 N 5th St, Ponca City, OK 74601
Phone: 580-762-5624    
Dr. Glen Ray Hoecker, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 217 N 5th St, Ponca City, OK 74601
Phone: 580-765-4553    Fax: 580-765-4553
Dr. Stefan Jacob Gelven, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 503 N 14th St, Ponca City, OK 74601
Phone: 580-200-2282    
Dr. Bryan Solomon Fields, DDS
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 1618 N 5th St, Ste. 2, Ponca City, OK 74601
Phone: 580-762-5624    
Dr. Jim M Merrifield, D.D.S.,M.S.
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 403 Fairview Ave, Ponca City, OK 74601
Phone: 580-765-2424    
Dr. William Randal Weber, D.D.S.
Dentist
Medicare: Medicare Enrolled
Practice Location: 1216 E Hartford Ave, Suite 1a, Ponca City, OK 74601
Phone: 580-762-9119    Fax: 580-762-9118
Dr. Surat Attaphitaya, DMD
Dentist
Medicare: Not Enrolled in Medicare
Practice Location: 900 E Prospect Ave, Ste 800, Ponca City, OK 74601
Phone: 580-765-2000    Fax: 580-765-2001

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