Dr Kenneth Alan Otto Jr, MD - Medicare Ophthalmology in Muskegon, MI

Dr Kenneth Alan Otto Jr, MD is a medicare enrolled "Ophthalmology" physician in Muskegon, Michigan. His current practice location is 1266 E Sherman Blvd, Muskegon, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 739-9009.

Dr Kenneth Alan Otto Jr is licensed to practice in Michigan (license number 4301403805) 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 1164403838.

Contact Information

Dr Kenneth Alan Otto Jr, MD
1266 E Sherman Blvd,
Muskegon, MI 49444-1847
(231) 739-9009
(231) 733-0566



Physician's Profile

Full NameDr Kenneth Alan Otto Jr
GenderMale
SpecialityOphthalmology
Location1266 E Sherman Blvd, Muskegon, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1164403838
  • Provider Enumeration Date: 11/09/2005
  • Last Update Date: 10/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3375507338
  • Enrollment ID: I20120416000056

Medical Identifiers

Medical identifiers for Dr Kenneth Alan Otto Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1164403838NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 4301403805 (Michigan)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Kenneth Alan Otto Jr allows following entities to bill medicare on his behalf.
Entity NameShoreline Ophthalmology Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679643670
PECOS PAC ID: 3678537628
Enrollment ID: O20060613000017

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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 Kenneth Alan Otto Jr 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 Kenneth Alan Otto Jr, MD
1266 E Sherman Blvd,
Muskegon, MI 49444-1847

Ph: (231) 739-9009
Dr Kenneth Alan Otto Jr, MD
1266 E Sherman Blvd,
Muskegon, MI 49444-1847

Ph: (231) 739-9009

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Ophthalmology Doctors in Muskegon, MI

Dr. Mark Stephen Kinziger, MD
Ophthalmology
Medicare: Not Enrolled in Medicare
Practice Location: 1266 E Sherman Blvd, Muskegon, MI 49444
Phone: 231-739-9009    Fax: 231-733-0566
Mr. David Alan Goran, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1150 E Sherman Blvd, Ste 1500, Muskegon, MI 49444
Phone: 231-737-9378    Fax: 231-737-1023
Mrs. Leeann Salot Webster, MD
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1266 East Sherman Blvd, Muskegon, MI 49444
Phone: 231-739-9009    Fax: 231-733-0566
Dr. Nathan Paul Reed, D.O.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1266 E Sherman Blvd, Muskegon, MI 49444
Phone: 231-739-9009    Fax: 231-733-0566
Dr. John Nicholas Oltean, DO
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1266 E Sherman Blvd, Muskegon, MI 49444
Phone: 231-739-9009    Fax: 231-733-0566
Dr. David James Rawlinson, D.O.
Ophthalmology
Medicare: Accepting Medicare Assignments
Practice Location: 1266 E Sherman Blvd, Muskegon, MI 49444
Phone: 231-739-9009    

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