Dr Nicholas Bottaro, DO, MHSA is a medicare enrolled "Ophthalmology" physician in Odessa, Florida. He went to Lake Erie College Of Osteopathic Medicine, Bradenton and graduated in 2016 and has 8 years of diverse experience with area of expertise as Ophthalmology. His current practice location is
15123 Ogden Loop, Odessa, Florida. You can reach out to his office (for appointments etc.) via phone at
(860) 268-6617.
Dr Nicholas Bottaro is licensed to practice in Florida (license number OS14898) 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 1396193611.
Physician's Profile
| Full Name | Dr Nicholas Bottaro |
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| Gender | Male |
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| Speciality | Ophthalmology |
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| Experience | 8 Years |
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| Location | 15123 Ogden Loop, Odessa, Florida |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Nicholas Bottaro attended and graduated from Lake Erie College Of Osteopathic Medicine, Bradenton in 2016
NPI Data:
- NPI Number: 1396193611
- Provider Enumeration Date: 05/26/2016
- Last Update Date: 09/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557776838
- Enrollment ID: I20210218001851
Medical Identifiers
Medical identifiers for Dr Nicholas Bottaro such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396193611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207WX0120X | Ophthalmology - Cornea And External Diseases Specialist | OS14898 (Florida) | Secondary |
| 207W00000X | Ophthalmology | OS14898 (Florida) | 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. Dr Nicholas Bottaro allows following entities to bill medicare on his behalf.
| Entity Name | Siloam Medical |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1154996072
PECOS PAC ID: 6103227434
Enrollment ID: O20210624001286 |
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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 Nicholas Bottaro 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 |
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Dr Nicholas Bottaro, DO, MHSA
15123 Ogden Loop,
Odessa, FL 33556-4633
Ph: () - | Dr Nicholas Bottaro, DO, MHSA
15123 Ogden Loop,
Odessa, FL 33556-4633
Ph: (860) 268-6617 |
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