Beverly Susan Botnick, MD - Medicare Internal Medicine in Pomona, CA

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Beverly Susan Botnick, MD is a medicare enrolled "Internal Medicine" physician in Pomona, California. She graduated from medical school in 1989 and has 35 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Providence Facey Medical Foundation and her current practice location is 1866 N Orange Grove Ave, Suite 202, Pomona, California. You can reach out to her office (for appointments etc.) via phone at (909) 398-1550.

Beverly Susan Botnick is licensed to practice in California (license number A49720) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1790754455.

Contact Information

Beverly Susan Botnick, MD
1866 N Orange Grove Ave, Suite 202,
Pomona, CA 91767-3031
(909) 398-1550
(909) 398-1573

Map and Direction




Physician's Profile

Full NameBeverly Susan Botnick
GenderFemale
SpecialityInternal Medicine
Experience35 Years
Location1866 N Orange Grove Ave, Pomona, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Beverly Susan Botnick graduated from medical school in 1989
  NPI Data:
  • NPI Number: 1790754455
  • Provider Enumeration Date: 03/15/2006
  • Last Update Date: 05/04/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4082636303
  • Enrollment ID: I20051229000370

Medical Identifiers

Medical identifiers for Beverly Susan Botnick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790754455NPI-NPPES
00A497200MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine A49720 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Providence Holy Cross Medical CenterMission hills, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Facey Medical Foundation3173436276282

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. Beverly Susan Botnick allows following entities to bill medicare on her behalf.
Entity NameProvidence Facey Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710031588
PECOS PAC ID: 3173436276
Enrollment ID: O20031105000822
Entity NameHealthcare Partners Affiliates Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1659312593
PECOS PAC ID: 7315842002
Enrollment ID: O20031204001258
Entity NameGalen Inpatient Physicians Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689320459
PECOS PAC ID: 3678464633
Enrollment ID: O20040322000680
Entity NameHospitalist Medicine Physicians Of California Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184663965
PECOS PAC ID: 8426062027
Enrollment ID: O20060202000956
Entity NameMallu Reddy Md Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184821340
PECOS PAC ID: 8022193994
Enrollment ID: O20080317000645
Entity NameAce Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639425663
PECOS PAC ID: 5698925576
Enrollment ID: O20121031000148
Entity NameKansal Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043510183
PECOS PAC ID: 6406089739
Enrollment ID: O20140512001295

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. Beverly Susan Botnick 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
Beverly Susan Botnick, MD
840 Towne Center Dr,
Pomona, CA 91767-5900

Ph: (909) 398-1550		Beverly Susan Botnick, MD
1866 N Orange Grove Ave, Suite 202,
Pomona, CA 91767-3031

Ph: (909) 398-1550

Reviews and Comments


Internal Medicine Doctors in Pomona, CA

Kenneth Spiers Brown, MD
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Phone: 909-620-4373    Fax: 909-620-7179
Lisa Carrie Butler,
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Practice Location: 790 East Bonita Ave, 2nd Floor, Pomona, CA 91767
Phone: 909-447-8585    Fax: 909-447-8593
Dr. Kerry Norman Gott, M.D.
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Practice Location: 255 E Bonita Ave, Pomona, CA 91767
Phone: 909-596-7733    Fax: 909-450-0357
Dr. Monica A Wong, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 750 S Park Ave, Pomona, CA 91766
Phone: 909-868-0235    Fax: 909-623-0571
Ossama Maloule, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 255 E Bonita Ave Bldg 1b, Pomona, CA 91767
Phone: 909-275-7470    Fax: 909-971-4532
Rita Patrick, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1880 N Orange Grove Ave, Pomona, CA 91767
Phone: 909-630-7158    
Nadir Ali Eltahir, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1940 N Orange Grove Ave, Pomona, CA 91767
Phone: 909-865-6900    Fax: 909-865-6300

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.