npidexNPI registry + Medicare data

AUTUMN OTTO, PA-C

Surgical Physician Assistant · BANGOR, ME

Individual Active NPI 1558189282

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Surgical Physician Assistant363AS0400X✓——
Physician Assistant363A00000X——
Medical Physician Assistant363AM0700X——

Medicare eligibility

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
No

Other Surgical Physician Assistant providers in Maine

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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.