Yaw Otchere-boateng, MD is a medicare enrolled "Internal Medicine" provider in Charleston, West Virginia. His current practice location is
1627 Quarrier St, Charleston, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 536-2246.
Yaw Otchere-boateng is licensed to practice in West Virginia (license number 29872) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1881668937.
Healthcare Provider's Profile
| Full Name | Yaw Otchere-boateng |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 1627 Quarrier St, Charleston, West Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1881668937
- Provider Enumeration Date: 02/15/2006
- Last Update Date: 02/25/2021
Medicare PECOS Information:
- PECOS PAC ID: 7911920236
- Enrollment ID: I20060317000404
Medical Identifiers
Medical identifiers for Yaw Otchere-boateng such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881668937 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 207P00000X | Emergency Medicine | 40708 (Tennessee) | Secondary |
| 207R00000X | Internal Medicine | 0101242839 (Virginia) | Secondary |
| 207R00000X | Internal Medicine | 40708 (Tennessee) | Secondary |
| 207RA0401X | Internal Medicine - Addiction Medicine | FO3926663 (Tennessee) | Secondary |
| 208M00000X | Hospitalist | 40708 (Tennessee) | Secondary |
| 208M00000X | Hospitalist | 43217 (Kentucky) | Secondary |
| 207R00000X | Internal Medicine | 29872 (West Virginia) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Yaw Otchere-boateng allows following entities to bill medicare on his behalf.
| Entity Name | Saint Thomas Medical Partners |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437194669
PECOS PAC ID: 1557269354
Enrollment ID: O20031230000470 |
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| Entity Name | Cogent Healthcare Of Tennessee, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952654246
PECOS PAC ID: 8628221165
Enrollment ID: O20130110000564 |
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| Entity Name | App Of Tennessee Hm, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396160768
PECOS PAC ID: 5395960694
Enrollment ID: O20140630001088 |
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| Entity Name | Pai Participant 1 Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093371312
PECOS PAC ID: 8123351954
Enrollment ID: O20200403001264 |
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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. Yaw Otchere-boateng is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Yaw Otchere-boateng, MD
1005 Carrington Ct,
Kingsport, TN 37660-5694
Ph: (236) 777-0404 | Yaw Otchere-boateng, MD
1627 Quarrier St,
Charleston, WV 25311-2124
Ph: (757) 536-2246 |
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