Individual ProviderKaralynn OtternessEmergency MedicineAllopathic & Osteopathic PhysiciansPractice AddressStony Brook Medicine Department Of Emergency, 100 Nicolls Road, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350(631) 444-2478PECOS EnrollmentBased on the most recent information from CMS, provider Karalynn Otterness is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1215227038Provider TypeIndividualFull NameOtterness, KaralynnGenderFemaleSole ProprietorNoEnumeration Date4/13/2011Last Updated8/3/2015Contact InformationPractice LocationPractice AddressStony Brook Medicine Department Of Emergency, 100 Nicolls Road, Hsc, Level 4, Room 080, Stony Brook, NY 11794-8350Phone(631) 444-2478FaxUnlisted FaxMailing LocationMailing AddressPO Box 1554, Stony Brook, NY 11790-0988Phone(631) 444-2478FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207P00000XPrimaryDescriptionEmergency MedicineAllopathic & Osteopathic PhysiciansLicense271990New York