Mark Oltermann, MD in Fort Worth, TX - Medicare Internal Medicine

Mark Oltermann, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Fort Worth, Texas. His current practice location is 1500 S Main St, Fort Worth, Texas. You can reach out to his office (for appointments etc.) via phone at (817) 921-3431.

Mark Oltermann is licensed to practice in Texas (license number G8323) 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 1154353357.

Contact Information

	Mark Oltermann, MD
	1500 S Main St, Fort Worth, TX 76104
	(817) 921-3431
	Not Available

Map and Direction

Physician's Profile

Full Name	Mark Oltermann
Gender	Male
Speciality	Internal Medicine - Critical Care Medicine
Location	1500 S Main St, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154353357
Provider Enumeration Date: 07/07/2006
Last Update Date: 06/15/2021

Medicare PECOS Information:

PECOS PAC ID: 3971504820
Enrollment ID: I20070120000095

Medical Identifiers

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

Identifier	Type	State	Issuer
1154353357	NPI	-	NPPES
150942401	Medicaid	TX
200003780A	Medicaid	OK
59339837	Medicaid	NM

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	G8323 (Texas)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	16376 (Nevada)	Secondary
207RP1001X	Internal Medicine - Pulmonary Disease	MED-PHYS-LIC-76336 (Montana)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	G8323 (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. Mark Oltermann allows following entities to bill medicare on his behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Hospitalist Medicine Physicians Of Texas Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629307095 PECOS PAC ID: 3476688318 Enrollment ID: O20100317001021

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

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 Oltermann 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 Oltermann, MD 1617 Hemphill St, Attn Credentialing, Fort Worth, TX 76104-4709 Ph: (817) 702-3381	Mark Oltermann, MD 1500 S Main St, Fort Worth, TX 76104 Ph: (817) 921-3431

Reviews and Comments

Internal Medicine Doctors in Fort Worth, TX

Gayane Tumyan, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 600 S Main St, Fort Worth, TX 76104 Phone: 817-882-2420
Charles A Carlton, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1622 8th Avenue, Suite 110, Fort Worth, TX 76104 Phone: 817-926-2561 Fax: 817-921-3708
Paul J Garcia, DO Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 5701 Bryant Irvin Rd, Suite 302, Fort Worth, TX 76132 Phone: 817-294-9000 Fax: 817-294-9010
Stevan A Gonzalez, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1250 8th Ave, Suite 515, Fort Worth, TX 76104 Phone: 817-922-4675 Fax: 817-922-4645
Christian Nguyen, DO Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1300 W Terrell Ave Ste K230, Fort Worth, TX 76104 Phone: 817-250-4906 Fax: 817-250-1815
Elie B Choufani, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 601 W Terrell Ave, Fort Worth, TX 76104 Phone: 817-852-8305
Syed Hadi Jafri, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1300 W Terrell Ave Fl 2, Fort Worth, TX 76104 Phone: 817-820-4906 Fax: 817-820-4815

Mark Oltermann, MD - Medicare Internal Medicine in Fort Worth, TX