Kerri S Otto, PA in Lincoln, NE - Physician Assistant

Kerri S Otto, PA is a Physician Assistant - Medical physician based in Lincoln, Nebraska. Kerri S Otto is licensed to practice in Nebraska (license number 1020) and her current practice location is 7100 Stephanie Ln Ste 100, Lincoln, Nebraska. She can be reached at her office (for appointments etc.) via phone at (402) 484-9009.

NPI number for Kerri S Otto is 1972601102 and her current mailing address is Po Box 6068, Lincoln, Nebraska. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1972601102.

Contact Information

	Kerri S Otto, PA
	7100 Stephanie Ln Ste 100, Lincoln, NE 68516-5332
	(402) 484-9009
	(402) 483-4223

Physician's Profile

Full Name	Kerri S Otto
Gender	Female
Speciality	Physician Assistant - Medical
Location	7100 Stephanie Ln Ste 100, Lincoln, Nebraska
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1972601102
Provider Enumeration Date: 09/20/2006
Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Kerri S Otto such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972601102	NPI	-	NPPES
47065843713	Medicaid	NE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NP0225X	Dermatology - Pediatric Dermatology	1020 (Nebraska)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	1020 (Nebraska)	Secondary
363AM0700X	Physician Assistant - Medical	1020 (Nebraska)	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. Kerri S Otto 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
Kerri S Otto, PA Po Box 6068, Lincoln, NE 68506-0068 Ph: (402) 484-9009	Kerri S Otto, PA 7100 Stephanie Ln Ste 100, Lincoln, NE 68516-5332 Ph: (402) 484-9009

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Kerri S Otto, PA - Physician Assistant in Lincoln, NE