Randa N A Othman, MD in Odessa, TX

Randa N A Othman, MD is a medicare enrolled "Pediatrics" physician in Odessa, Texas. Her current practice location is 701 W 5th St, Odessa, Texas. You can reach out to her office (for appointments etc.) via phone at (432) 335-1421.

Randa N A Othman is licensed to practice in Arkansas (license number E-10673) 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 1093073173.

Contact Information

	Randa N A Othman, MD
	701 W 5th St, Odessa, TX 79763
	(432) 335-1421
	(432) 335-1807

Map and Direction

Physician's Profile

Full Name	Randa N A Othman
Gender	Female
Speciality	Pediatrics
Location	701 W 5th St, Odessa, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1093073173
Provider Enumeration Date: 04/26/2012
Last Update Date: 05/31/2018

Medicare PECOS Information:

PECOS PAC ID: 6800044082
Enrollment ID: I20170803000750

Medical Identifiers

Medical identifiers for Randa N A Othman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093073173	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	E-10673 (Arkansas)	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. Randa N A Othman allows following entities to bill medicare on her behalf.

Entity Name	University Of Arkansas For Medical Sciences
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346230968 PECOS PAC ID: 4082528955 Enrollment ID: O20040115000431

Entity Name	Arkansas Childrens Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598773079 PECOS PAC ID: 2769477744 Enrollment ID: O20040419000796

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. Randa N A Othman 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
Randa N A Othman, MD 1 Childrens Way # 653, Little Rock, AR 72202-3500 Ph: (501) 364-1100	Randa N A Othman, MD 701 W 5th St, Odessa, TX 79763 Ph: (432) 335-1421

Reviews and Comments

Pediatrics Doctors in Odessa, TX

Dr. Carlos Nieto Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-1500 Fax: 432-335-1537
Dr. Stephanie Villarreal, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-335-2222
Olajide A Sowemimo, Pediatrics Medicare: May Accept Medicare Assignments Practice Location: Texas Tech University Health Sciences Complex, 701 West 5th Street, Odessa, TX 79763 Phone: 432-703-6310
Manisha Mahadev Desai, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 29 Dolores Ct, Odessa, TX 79765 Phone: 432-561-8797
Manjula Mudduluru, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 701 W 5th St, Odessa, TX 79763 Phone: 432-703-5310 Fax: 432-335-5354
Manuel Castillo, M.D Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 303 East 7th Street, Odessa, TX 79761 Phone: 432-582-2929 Fax: 432-331-9987

Randa N A Othman, MD - Medicare Pediatrics in Odessa, TX