Dr Carmelo Otero, MD - Medicare Cardiac Surgery in San Antonio, TX

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Dr Carmelo Otero, MD is a medicare enrolled "Surgery" physician in San Antonio, Texas. He went to University Of Puerto Rico School Of Medicine and graduated in 1981 and has 43 years of diverse experience with area of expertise as Cardiac Surgery. He is a member of the group practice M Reza Mizani Md Pa and his current practice location is 225 E Sonterra Blvd, 201, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at (210) 615-6626.

Dr Carmelo Otero is licensed to practice in Texas (license number G7417) 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 1588683155.

Contact Information

Dr Carmelo Otero, MD
225 E Sonterra Blvd, 201,
San Antonio, TX 78258-3992
(210) 615-6626
(210) 615-1318

Map and Direction




Physician's Profile

Full NameDr Carmelo Otero
GenderMale
SpecialityCardiac Surgery
Experience43 Years
Location225 E Sonterra Blvd, San Antonio, Texas
Accepts Medicare AssignmentsYes. 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 Carmelo Otero attended and graduated from University Of Puerto Rico School Of Medicine in 1981
  NPI Data:
  • NPI Number: 1588683155
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 02/18/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 1557383882
  • Enrollment ID: I20080313000730

Medical Identifiers

Medical identifiers for Dr Carmelo Otero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588683155NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery G7417 (Texas)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Medical CenterSan antonio, TXHospital
Christus Santa Rosa Medical CenterSan antonio, TXHospital
Methodist HospitalSan antonio, TXHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
M Reza Mizani Md Pa529470968924

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 Carmelo Otero allows following entities to bill medicare on his behalf.
Entity NameRobert G. Szewc, M.d., P.a.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366599888
PECOS PAC ID: 2365339751
Enrollment ID: O20040301001024
Entity NameM Reza Mizani Md Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275503393
PECOS PAC ID: 5294709689
Enrollment ID: O20040823000238
Entity NameTransitioncare Medical Group Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609110923
PECOS PAC ID: 0042455784
Enrollment ID: O20130328000284
Entity NameRhythm Endovascular And Heart Institute Of Texas, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285087130
PECOS PAC ID: 7719275080
Enrollment ID: O20161019002664

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 Carmelo Otero 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 AddressPractice Location Address
Dr Carmelo Otero, MD
Po Box 2636,
San Antonio, TX 78299-2636

Ph: (210) 615-6626		Dr Carmelo Otero, MD
225 E Sonterra Blvd, 201,
San Antonio, TX 78258-3992

Ph: (210) 615-6626

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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