Julio C Otazo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Del Rio, Texas. He went to University Of Texas Medical Branch At Galveston and graduated in 1982 and has 42 years of diverse experience with area of expertise as Interventional Radiology. He is a member of the group practice South Texas Radiology Group Pa and his current practice location is
801 N Bedell Ave, Del Rio, Texas. You can reach out to his office (for appointments etc.) via phone at
(830) 703-1745.
Julio C Otazo is licensed to practice in Texas (license number G6083) 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 1518057983.
Physician's Profile
| Full Name | Julio C Otazo |
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| Gender | Male |
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| Speciality | Interventional Radiology |
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| Experience | 42 Years |
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| Location | 801 N Bedell Ave, Del Rio, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Julio C Otazo attended and graduated from University Of Texas Medical Branch At Galveston in 1982
NPI Data:
- NPI Number: 1518057983
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 05/31/2016
Medicare PECOS Information:
- PECOS PAC ID: 6305867573
- Enrollment ID: I20100729000401
Medical Identifiers
Medical identifiers for Julio C Otazo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518057983 | NPI | - | NPPES |
| 1356149-15 | Medicaid | TX | |
| 1356149-17 | Medicaid | TX | |
| G6083 | Other | TX | TEXAS MEDICAL LICENSE |
| 1356149-16 | Medicaid | TX | |
| 300136080 | Other | TX | RAILROAD MEDICARE |
| 300136181 | Other | TX | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2085R0202X | Radiology - Diagnostic Radiology | G6083 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| South Texas Radiology Group Pa | 2567365083 | 76 |
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. Julio C Otazo allows following entities to bill medicare on his behalf.
| Entity Name | South Texas Radiology Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851368039
PECOS PAC ID: 2567365083
Enrollment ID: O20040130000694 |
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| Entity Name | South Texas Radiology Imaging Centers |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396718334
PECOS PAC ID: 0547153512
Enrollment ID: O20040204000215 |
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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. Julio C Otazo 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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Julio C Otazo, MD
8401 Datapoint Dr Ste 600, P. O. Box 29441,
San Antonio, TX 78229-5907
Ph: (210) 616-7796 | Julio C Otazo, MD
801 N Bedell Ave,
Del Rio, TX 78840-4112
Ph: (830) 703-1745 |
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