Stacie Michelle Otten, MD in Austin, TX - Medicare Emergency Medicine

Stacie Michelle Otten, MD is a medicare enrolled "Emergency Medicine" physician in Austin, Texas. Her current practice location is 1201 W 38th St, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 324-1010.

Stacie Michelle Otten is licensed to practice in Texas (license number K5171) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1639129380.

Contact Information

	Stacie Michelle Otten, MD
	1201 W 38th St, Austin, TX 78705-1006
	(512) 324-1010
	Not Available

Map and Direction

Physician's Profile

Full Name	Stacie Michelle Otten
Gender	Female
Speciality	Emergency Medicine
Location	1201 W 38th St, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639129380
Provider Enumeration Date: 05/11/2006
Last Update Date: 07/16/2014

Medicare PECOS Information:

PECOS PAC ID: 6305835166
Enrollment ID: I20040507001037

Medical Identifiers

Medical identifiers for Stacie Michelle Otten such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639129380	NPI	-	NPPES
118398003	Medicaid	TX
118398009	Medicaid	TX
118398006	Medicaid	TX
118398001	Medicaid	TX
118398007	Medicaid	TX
118398012	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	K5171 (Texas)	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. Stacie Michelle Otten allows following entities to bill medicare on her behalf.

Entity Name	Travis County Emergency Physicians Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962440933 PECOS PAC ID: 0840289468 Enrollment ID: O20040510000492

Entity Name	Round Table Physicians Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023439114 PECOS PAC ID: 0547682460 Enrollment ID: O20200623002513

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. Stacie Michelle Otten 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
Stacie Michelle Otten, MD 2619 Deerfoot Trl, Austin, TX 78704-2715 Ph: (512) 633-4028	Stacie Michelle Otten, MD 1201 W 38th St, Austin, TX 78705-1006 Ph: (512) 324-1010

Reviews and Comments

Emergency Medicine Doctors in Austin, TX

Dr. Suprina Dorai, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8721 Menchaca Rd, Austin, TX 78748 Phone: 512-280-6959
Nicole Maree Hotchkiss, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 6300 La Calma Dr Ste 200, Austin, TX 78752 Phone: 512-452-8533
Dr. Gurpreet Basraon, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 12201 Renfert Way Ste 105, Austin, TX 78758 Phone: 877-800-5722
Kimberly Snyder, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 12221 N. Mopac Expressway, Austin, TX 78758 Phone: 512-901-1000
Rex E. Medford, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111
Ronald S. Kim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111
Eric A Higginbotham, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 8611 N Mopac Expy # 300, Austin, TX 78759 Phone: 737-220-8200

Stacie Michelle Otten, MD - Medicare Emergency Medicine in Austin, TX