MS. Elizabeth Ann Otter, PA-C
MS. Elizabeth Ann Otter, PA-C is a Physician Assistant in Holland, Michigan. Qualified in 2005, 21 years ago. Practices with Jack a Dekkinga MD PC, a 20-clinician group and accepts Medicare assignment. Licensed in Michigan and Tennessee.
- Years since qualifying
- 21
- Licensed in
- MI, TN
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
3290 N Wellness Dr Ste 240Holland, MI 49424-7261
Phone: (616) 395-9379
Fax: (616) 820-1457
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 5601004658 (MI) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence PA0000001490 (TN) |
Record details
| NPI number | 1639108293 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 3, 2006 |
| Last updated in NPPES | September 13, 2023 |
| Certification date | September 13, 2023 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2005 (21 years in practice) |
| Group practice | Jack A Dekkinga Md Pc — 20 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
Other providers in Holland
-
Jacob Jenkins
168 Sorrento Dr, Holland, MI 49423-6618 · (269) 838-8215
-
Stefan John Kuipers, PA-C
3100 Wellness Dr, Holland, MI 49424 · (616) 994-2770
-
Mr. Joel A Wetzel, PA
335 N 120th Ave, Holland, MI 49424-2118 · (616) 392-5222