Kristin Bothwell, LICSW - Medicare Clinical Social Worker in Peterson Space Force Base, CO

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Kristin Bothwell, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Peterson Space Force Base, Colorado. She graduated from medical school in 2009 and has 17 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is Next-559 Vincent St., Space Base Delta 1, Peterson Space Force Base, Colorado. You can reach out to her office (for appointments etc.) via phone at (617) 413-6275.

Kristin Bothwell is licensed to practice in California (license number 96216) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1417123191.

Contact Information

Kristin Bothwell, LICSW
Next-559 Vincent St., Space Base Delta 1,
Peterson Space Force Base, CO 80914-0000
(617) 413-6275
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameKristin Bothwell
GenderFemale
SpecialityClinical Social Worker
Experience17 Years
LocationNext-559 Vincent St., Peterson Space Force Base, Colorado
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kristin Bothwell graduated from medical school in 2009
  NPI Data:
  • NPI Number: 1417123191
  • Provider Enumeration Date: 05/02/2008
  • Last Update Date: 09/20/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 3274033717
  • Enrollment ID: I20250821000126

Medical Identifiers

Medical identifiers for Kristin Bothwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417123191NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical 116933 (Massachusetts)Secondary
1041C0700XSocial Worker - Clinical 96216 (California)Primary

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. Kristin Bothwell 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
Kristin Bothwell, LICSW
Nect-559 Vincent Street, Space Base Delta 1,
Peterson Sfb, CO 80914

Ph: (617) 413-6275		Kristin Bothwell, LICSW
Next-559 Vincent St., Space Base Delta 1,
Peterson Space Force Base, CO 80914-0000

Ph: (617) 413-6275

Reviews and Comments


Social Worker in Peterson Space Force Base, CO

Mrs. Cynthia Ann Miller Wyatt, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 100 W Ent Ave, Building 725, Peterson Space Force Base, CO 80916
Phone: 719-556-8943    

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.