OTIS LAWRENCE PA-C
NPI 1134540909
Physician Assistant - Medical in Tacoma, WA

Active since December 22, 2013PECOS EnrolledAccepts Medicare Assignment
608 E 62ND ST, TACOMA, WA 98404(210) 793-0595 Get Directions Write a Review

NPPES record last updated: December 22, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Otis Lawrence Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OTIS LAWRENCE PA-C (NPI 1134540909) is an individual medical provider in Tacoma, Washington and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1134540909
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameOTIS LAWRENCECredential: PA-C
Location Address608 E 62ND STTacoma, WA 98404-1935
Mailing Address608 E 62nd StTacoma, WA 98404-1935 · (210) 793-0595
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateDecember 22, 2013
NPI 1134540909 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
608 E 62ND ST, Tacoma, WA 98404

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Otis Lawrence Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274905070
PECOS Enrollment IDI20230203001080
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Otis Lawrence's NPI number?

The NPI number for Otis Lawrence is 1134540909. It was assigned to this individual provider in the NPPES registry on December 22, 2013.

Where is Otis Lawrence located?

Otis Lawrence practices at 608 E 62nd St, Tacoma, WA 98404. The listed phone number is (210) 793-0595.

What is Otis Lawrence's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Otis Lawrence enrolled in Medicare?

Yes. Otis Lawrence is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Otis Lawrence was last updated on December 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.