Clark C Otley, MD - Medicare Micrographic Dermatologic Surgery (mds) in Rochester, MN

Clark C Otley, MD is a medicare enrolled "Dermatology - Mohs-micrographic Surgery" physician in Rochester, Minnesota. He went to Duke University School Of Medicine and graduated in 1991 and has 33 years of diverse experience with area of expertise as Micrographic Dermatologic Surgery (mds). He is a member of the group practice Mayo Clinic and his current practice location is 200 1st St Sw, Rochester, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 284-2511.

Clark C Otley is licensed to practice in Minnesota (license number 38287) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1578535506.

Contact Information

Clark C Otley, MD
200 1st St Sw,
Rochester, MN 55905-0001
(507) 284-2511
Not Available



Physician's Profile

Full NameClark C Otley
GenderMale
SpecialityMicrographic Dermatologic Surgery (mds)
Experience33 Years
Location200 1st St Sw, Rochester, Minnesota
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Clark C Otley attended and graduated from Duke University School Of Medicine in 1991
  NPI Data:
  • NPI Number: 1578535506
  • Provider Enumeration Date: 02/03/2006
  • Last Update Date: 02/03/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8224171350
  • Enrollment ID: I20100211000282

Medical Identifiers

Medical identifiers for Clark C Otley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578535506NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207ND0101XDermatology - Mohs-micrographic Surgery 38287 (Minnesota)Primary
207N00000XDermatology 38287 (Minnesota)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mayo Clinic Hospital RochesterRochester, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mayo Clinic65077782554232

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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. Clark C Otley allows following entities to bill medicare on his behalf.
Entity NameMayo Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922074434
PECOS PAC ID: 6507778255
Enrollment ID: O20031103000285

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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. Clark C Otley 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 AddressPractice Location Address
Clark C Otley, MD
200 1st St Sw,
Rochester, MN 55905-0001

Ph: (507) 284-2511
Clark C Otley, MD
200 1st St Sw,
Rochester, MN 55905-0001

Ph: (507) 284-2511

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Dermatology Doctors in Rochester, MN

Anne Lillian King, MD
Dermatology
Medicare: May Accept Medicare Assignments
Practice Location: 200 1st St Sw, Rochester, MN 55905
Phone: 507-284-2511    
Scott Tuttle,
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 200 1st St Sw, Rochester, MN 55905
Phone: 507-284-2511    
Emma Fell Johnson, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 200 1st St Sw, Rochester, MN 55905
Phone: 507-284-2511    
Dawn Marie R Davis, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 200 1st St Sw, Rochester, MN 55905
Phone: 507-284-2511    
Michelle Colbert, MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 200 1st St Sw, Rochester, MN 55905
Phone: 507-284-2511    
Rokea A El-azhary, M.D.
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 200 1st St Sw, Rochester, MN 55905
Phone: 507-284-2511    
Phillip J Keith, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 200 1st St Sw, Rochester, MN 55905
Phone: 507-284-2511    

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