Elaine Otchere, MD in Austin, TX - Medicare Dermatology

Elaine Otchere, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Austin, Texas. Her current practice location is 4401 W Gate Blvd Unit 120, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at (512) 815-2559.

Elaine Otchere is licensed to practice in Texas (license number V2200) 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 1073172433.

Contact Information

	Elaine Otchere, MD
	4401 W Gate Blvd Unit 120, Austin, TX 78745-1477
	(512) 815-2559
	(512) 318-2538

Map and Direction

Physician's Profile

Full Name	Elaine Otchere
Gender	Female
Speciality	Dermatology - Mohs-micrographic Surgery
Location	4401 W Gate Blvd Unit 120, 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: 1073172433
Provider Enumeration Date: 06/10/2019
Last Update Date: 07/25/2025

Medicare PECOS Information:

PECOS PAC ID: 7416285937
Enrollment ID: I20240716001323

Medical Identifiers

Medical identifiers for Elaine Otchere such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073172433	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	V2200 (Texas)	Secondary
207N00000X	Dermatology	259661 (North Carolina)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	R-12787 (Iowa)	Secondary
207ND0101X	Dermatology - Mohs-micrographic Surgery	V2200 (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. Elaine Otchere allows following entities to bill medicare on her behalf.

Entity Name	Mountain West Derm - Blackhart Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366018848 PECOS PAC ID: 1153609813 Enrollment ID: O20211018000436

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. Elaine Otchere 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
Elaine Otchere, MD 4401 W Gate Blvd Unit 120, Austin, TX 78745-1477 Ph: (512) 815-2559	Elaine Otchere, MD 4401 W Gate Blvd Unit 120, Austin, TX 78745-1477 Ph: (512) 815-2559

Reviews and Comments

Dermatology Doctors in Austin, TX

Dr. John Joseph Ghidoni Iii, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8229 Shoal Creek Blvd, Suite#101, Austin, TX 78757 Phone: 512-371-7400 Fax: 512-371-7488
Moise Levy, MD Dermatology Medicare: Medicare Enrolled Practice Location: 1301 Barbara Jordan Blvd Ste 200, Austin, TX 78723 Phone: 512-628-1920 Fax: 512-628-1921
Dr. Susan Elizabeth Dozier, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8240 N Mo Pac Expwy, Suite 355, Austin, TX 78759 Phone: 512-527-9020 Fax: 512-527-9000
Dr. Gregory A. Nikolaidis, Dermatology Medicare: Not Enrolled in Medicare Practice Location: 8825 Bee Cave Rd, Suite 100, Austin, TX 78746 Phone: 512-328-3376 Fax: 512-399-6895
Amy Ayres Mcclung, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 9701 Brodie Ln Ste 106, Austin, TX 78748 Phone: 512-280-3939 Fax: 512-280-3938
Stanley Tyler Hollmig, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 1601 Trinity St Ste 704b, Austin, TX 78712 Phone: 512-324-7468 Fax: 512-324-7469
Dr. Lauren Piilani Rimoin, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8825 Bee Caves Rd Ste 100, Austin, TX 78746 Phone: 512-328-3376 Fax: 512-666-3767

Elaine Otchere, MD - Medicare Dermatology in Austin, TX