Dr Emmeken Godelieve Otte, MD is a medicare enrolled "Internal Medicine" physician in Olney, Texas. She went to Texas A & M University System, Hsc, College Of Medicine and graduated in 2007 and has 19 years of diverse experience with area of expertise as Pediatric Medicine. She is a member of the group practice Concord Medical Group Of Texas Pllc, Olney-hamilton Hospital District and her current practice location is
901 W Hamilton St, Olney, Texas. You can reach out to her office (for appointments etc.) via phone at
(940) 564-5521.
Dr Emmeken Godelieve Otte is licensed to practice in Texas (license number N7733) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1457548240.
Physician's Profile
| Full Name | Dr Emmeken Godelieve Otte |
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| Gender | Female |
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| Speciality | Pediatric Medicine |
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| Experience | 19 Years |
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| Location | 901 W Hamilton St, Olney, Texas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Emmeken Godelieve Otte attended and graduated from Texas A & M University System, Hsc, College Of Medicine in 2007
NPI Data:
- NPI Number: 1457548240
- Provider Enumeration Date: 09/26/2007
- Last Update Date: 09/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 9537338603
- Enrollment ID: I20111007000361
Medical Identifiers
Medical identifiers for Dr Emmeken Godelieve Otte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457548240 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | N7733 (Texas) | Secondary |
| 207R00000X | Internal Medicine | N7733 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Concord Medical Group Of Texas Pllc | 7810117223 | 238 |
| Olney-hamilton Hospital District | 9133029077 | 15 |
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 Emmeken Godelieve Otte allows following entities to bill medicare on her behalf.
| Entity Name | Concord Medical Group Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083630610
PECOS PAC ID: 0446296818
Enrollment ID: O20050707000531 |
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| Entity Name | Olney-hamilton Hospital District |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801158787
PECOS PAC ID: 9133029077
Enrollment ID: O20120727000642 |
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| Entity Name | Concord Medical Group Of Texas Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750790762
PECOS PAC ID: 7810117223
Enrollment ID: O20141007002567 |
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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. Dr Emmeken Godelieve Otte 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 Emmeken Godelieve Otte, MD
100 S Avenue M,
Olney, TX 76374-1642
Ph: (940) 564-3546 | Dr Emmeken Godelieve Otte, MD
901 W Hamilton St,
Olney, TX 76374-1725
Ph: (940) 564-5521 |
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