Dr David Zachary Othman, MD, MHSA in Chicago, IL

Dr David Zachary Othman, MD, MHSA is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Chicago, Illinois. He went to Northeastern Ohio University College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Cook County and his current practice location is 2202 N Halsted St Ste 1, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 600-5826.

Dr David Zachary Othman is licensed to practice in Illinois (license number 036144735) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1760741938.

Contact Information

	Dr David Zachary Othman, MD, MHSA
	2202 N Halsted St Ste 1, Chicago, IL 60614-3625
	(312) 600-5826
	(872) 260-5008

Map and Direction

Physician's Profile

Full Name	Dr David Zachary Othman
Gender	Male
Speciality	Dermatology
Experience	12 Years
Location	2202 N Halsted St Ste 1, Chicago, Illinois
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr David Zachary Othman attended and graduated from Northeastern Ohio University College Of Medicine in 2012

NPI Data:

NPI Number: 1760741938
Provider Enumeration Date: 05/09/2012
Last Update Date: 12/23/2023

Medicare PECOS Information:

PECOS PAC ID: 4183866056
Enrollment ID: I20180824000714

Medical Identifiers

Medical identifiers for Dr David Zachary Othman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760741938	NPI	-	NPPES
024369500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207NP0225X	Dermatology - Pediatric Dermatology	036144735 (Illinois)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	143497 (California)	Secondary
207NS0135X	Dermatology - Procedural Dermatology	036144735 (Illinois)	Primary
207N00000X	Dermatology	036144735 (Illinois)	Secondary
207N00000X	Dermatology	143497 (California)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	036144735 (Illinois)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	143497 (California)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
John H Stroger Jr Hospital	Chicago, IL	Hospital

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. Dr David Zachary Othman allows following entities to bill medicare on his behalf.

Entity Name	Cook County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588612832 PECOS PAC ID: 2860398088 Enrollment ID: O20031209000747

Entity Name	Illinois Skin Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588283402 PECOS PAC ID: 0345626784 Enrollment ID: O20221007001706

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. Dr David Zachary Othman 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
Dr David Zachary Othman, MD, MHSA 2202 N. Halsted St, Suite 1, Chicago, IL 60614 Ph: (312) 600-5826	Dr David Zachary Othman, MD, MHSA 2202 N Halsted St Ste 1, Chicago, IL 60614-3625 Ph: (312) 600-5826

Reviews and Comments

Dermatology Doctors in Chicago, IL

Edward B Li, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 676 N Saint Clair St Ste 1600, Chicago, IL 60611 Phone: 312-695-8106
Joaquin Carlos Brieva, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 676 N Saint Clair St, Suite 1600, Chicago, IL 60611 Phone: 312-695-8106 Fax: 312-695-0537
Dr. Kevin Scott Pinski, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 150 N Michigan Ave Ste 1200, Chicago, IL 60601 Phone: 312-263-4625 Fax: 312-263-5029
Dr. James A Ida Jr., MD Dermatology Medicare: Medicare Enrolled Practice Location: 1663 W Carmen Ave, Chicago, IL 60640 Phone: 773-293-7500
Erin M Ibler, M.D. Dermatology Medicare: Medicare Enrolled Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126
Dr. Stephen L Carter, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 2148 N Damen Ave, Chicago, IL 60647 Phone: 773-938-8128 Fax: 773-938-8126
Dr. Todd Andrew Johnson, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1765 N Elston Ave, Suite 110, Chicago, IL 60642 Phone: 773-276-1100 Fax: 773-276-1102

Dr David Zachary Othman, MD, MHSA - Medicare Dermatology in Chicago, IL