| Richard Elmer Otto, MD | |
|
908 Rockmoor Dr, Georgetown, TX 78628-8966 | |
| (512) 868-0901 | |
| (512) 868-1527 |
| Full Name | Richard Elmer Otto |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 24 Years |
| Location | 908 Rockmoor Dr, Georgetown, Texas |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730266420 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L9409 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St David's Medical Center | Austin, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Legacy Healthcare Services Inc | 2163339722 | 3474 |
| Family Medical Center Of Georgetown, Pa | 3870564867 | 2 |
| Entity Name | Family Medical Center Of Georgetown, Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700946118 PECOS PAC ID: 3870564867 Enrollment ID: O20040803001595 |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Elmer Otto, MD 908 Rockmoor Dr, Georgetown, TX 78628-8966 Ph: (512) 868-0901 | Richard Elmer Otto, MD 908 Rockmoor Dr, Georgetown, TX 78628-8966 Ph: (512) 868-0901 |
Dr. Suja Maria Sabastin, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1507 Rivery Blvd, Georgetown, TX 78628 Phone: 512-509-9550 Fax: 512-509-9555 | |
Kathryn Drake Hart, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 603 W University Ave, Georgetown, TX 78626 Phone: 512-509-9550 | |
Dr. Thomas Charles Bohmfalk, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3201 S Austin Ave Ste 210, Georgetown, TX 78626 Phone: 513-763-4000 Fax: 512-930-4946 | |
William Robert Umstattd, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 3008 Dawn Dr, Suite 201, Georgetown, TX 78628 Phone: 512-863-4596 Fax: 512-863-4676 | |
Mr. Richard C Male Jr., D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 3721 Williams Dr, Georgetown, TX 78628 Phone: 512-869-7310 Fax: 512-869-5616 | |
Dr. Katherine Marie Vega, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1821 Westinghouse Rd Ste 1190, Georgetown, TX 78626 Phone: 512-348-6399 | |
Dr. Ann Louise Nolen, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 7600 Highway 29 W, Suite 5, Georgetown, TX 78628 Phone: 512-930-0363 Fax: 512-930-0371 |