Mark Conrad Ottelin, MD in Greensboro, NC

Mark Conrad Ottelin, MD is a medicare enrolled "Urology" physician in Greensboro, North Carolina. His current practice location is 509 N Elam Ave Fl 2, Greensboro, North Carolina. You can reach out to his office (for appointments etc.) via phone at (336) 274-1114.

Mark Conrad Ottelin is licensed to practice in North Carolina (license number 35458) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1164418216.

Contact Information

	Mark Conrad Ottelin, MD
	509 N Elam Ave Fl 2, Greensboro, NC 27403-1157
	(336) 274-1114
	(336) 232-5325

Map and Direction

Physician's Profile

Full Name	Mark Conrad Ottelin
Gender	Male
Speciality	Urology
Location	509 N Elam Ave Fl 2, Greensboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164418216
Provider Enumeration Date: 09/23/2005
Last Update Date: 02/11/2011

Medicare PECOS Information:

PECOS PAC ID: 7214936244
Enrollment ID: I20061220000275

Medical Identifiers

Medical identifiers for Mark Conrad Ottelin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164418216	NPI	-	NPPES
64398	Other	NC	BLUE CROSS BLUE SHIELD
8964398	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	35458 (North Carolina)	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. Mark Conrad Ottelin allows following entities to bill medicare on his behalf.

Entity Name	Alliance Urology Specialists
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346204088 PECOS PAC ID: 8921902586 Enrollment ID: O20031125000195

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. Mark Conrad Ottelin 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
Mark Conrad Ottelin, MD 509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 Ph: (336) 274-1114	Mark Conrad Ottelin, MD 509 N Elam Ave Fl 2, Greensboro, NC 27403-1157 Ph: (336) 274-1114

Reviews and Comments

Urology Doctors in Greensboro, NC

Houston Magill Kimbrough Jr., MD Urology Medicare: Not Enrolled in Medicare Practice Location: 509 N Elam Ave Fl 2, Greensboro, NC 27403 Phone: 336-274-1114 Fax: 336-232-5325
Sigmund Ian Tannenbaum, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 509 N Elam Ave Fl 2, Greensboro, NC 27403 Phone: 336-274-1114 Fax: 336-232-5325
Dr. Patrick Lee Mckenzie, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 509 N Elam Ave Fl 2, Greensboro, NC 27403 Phone: 336-274-1114 Fax: 336-274-9638
Lester Stuart Borden Jr., MD Urology Medicare: Accepting Medicare Assignments Practice Location: 509 N Elam Ave Fl 2, Greensboro, NC 27403 Phone: 336-274-1114 Fax: 336-232-5325
David Stanley Grapey, MD Urology Medicare: Medicare Enrolled Practice Location: 509 N Elam Ave Fl 2, Greensboro, NC 27403 Phone: 336-274-1114 Fax: 336-232-5324
Scott Avard Macdiarmid, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 509 N Elam Ave Fl 2, Greensboro, NC 27403 Phone: 336-274-1114 Fax: 336-232-5325

Mark Conrad Ottelin, MD - Medicare Urology in Greensboro, NC