Dr David Zachary Othman, MD, MHSA - Medicare Dermatology in Chicago, IL

Dr David Zachary Othman, MD, MHSA is a medicare enrolled "Dermatology - Procedural Dermatology" physician in Chicago, Illinois. He went to Northeastern Ohio University College Of Medicine and graduated in 2012 and has 12 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Cook County and his current practice location is 2202 N Halsted St Ste 1, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (312) 600-5826.

Dr David Zachary Othman is licensed to practice in Illinois (license number 036144735) 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 1760741938.

Contact Information

Dr David Zachary Othman, MD, MHSA
2202 N Halsted St Ste 1,
Chicago, IL 60614-3625
(312) 600-5826
(872) 260-5008



Physician's Profile

Full NameDr David Zachary Othman
GenderMale
SpecialityDermatology
Experience12 Years
Location2202 N Halsted St Ste 1, Chicago, Illinois
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:
  • Dr David Zachary Othman attended and graduated from Northeastern Ohio University College Of Medicine in 2012
  NPI Data:
  • NPI Number: 1760741938
  • Provider Enumeration Date: 05/09/2012
  • Last Update Date: 12/23/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183866056
  • Enrollment ID: I20180824000714

Medical Identifiers

Medical identifiers for Dr David Zachary Othman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760741938NPI-NPPES
024369500MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207NP0225XDermatology - Pediatric Dermatology 036144735 (Illinois)Secondary
207NS0135XDermatology - Procedural Dermatology 143497 (California)Secondary
207NS0135XDermatology - Procedural Dermatology 036144735 (Illinois)Primary
207N00000XDermatology 036144735 (Illinois)Secondary
207N00000XDermatology 143497 (California)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 036144735 (Illinois)Secondary
207ND0101XDermatology - Mohs-micrographic Surgery 143497 (California)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
John H Stroger Jr HospitalChicago, ILHospital

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. Dr David Zachary Othman allows following entities to bill medicare on his behalf.
Entity NameCook County
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747

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Entity NameIllinois Skin Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588283402
PECOS PAC ID: 0345626784
Enrollment ID: O20221007001706

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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. Dr David Zachary 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 AddressPractice Location Address
Dr David Zachary Othman, MD, MHSA
2202 N. Halsted St, Suite 1,
Chicago, IL 60614

Ph: (312) 600-5826
Dr David Zachary Othman, MD, MHSA
2202 N Halsted St Ste 1,
Chicago, IL 60614-3625

Ph: (312) 600-5826

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Dermatology Doctors in Chicago, IL

Edward Binghang Li, MD, PHD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 251 E Huron St, Chicago, IL 60611
Phone: 617-732-5500    
Joaquin Carlos Brieva, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 676 N Saint Clair St, Suite 1600, Chicago, IL 60611
Phone: 312-695-8106    Fax: 312-695-0537
Dr. Kevin Scott Pinski, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 150 N Michigan Ave Ste 1200, Chicago, IL 60601
Phone: 312-263-4625    Fax: 312-263-5029
Dr. James A Ida Jr., MD
Dermatology
Medicare: Medicare Enrolled
Practice Location: 1663 W Carmen Ave, Chicago, IL 60640
Phone: 773-293-7500    
Erin M Ibler, M.D.
Dermatology
Medicare: Medicare Enrolled
Practice Location: 2148 N Damen Ave, Chicago, IL 60647
Phone: 773-938-8128    Fax: 773-938-8126
Dr. Stephen L Carter, MD
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 2148 N Damen Ave, Chicago, IL 60647
Phone: 773-938-8128    Fax: 773-938-8126
Dr. Todd Andrew Johnson, M.D.
Dermatology
Medicare: Accepting Medicare Assignments
Practice Location: 1765 N Elston Ave, Suite 110, Chicago, IL 60642
Phone: 773-276-1100    Fax: 773-276-1102

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