Peter Joseph Botti, LISW is a medicare enrolled "Social Worker - Clinical" provider in Alliance, Ohio. He went to Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University and graduated in 1994 and has 30 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Coleman Professional Services, Inc. and his current practice location is
1207 W State St Ste M, Alliance, Ohio. You can reach out to his office (for appointments etc.) via phone at
(330) 821-8407.
Peter Joseph Botti is licensed to practice in Ohio (license number I. 0007687) 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 1023224441.
Healthcare Provider's Profile
| Full Name | Peter Joseph Botti |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 30 Years |
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| Location | 1207 W State St Ste M, Alliance, Ohio |
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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:
- Peter Joseph Botti attended and graduated from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1994
NPI Data:
- NPI Number: 1023224441
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 07/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 8628213816
- Enrollment ID: I20130315000379
Medical Identifiers
Medical identifiers for Peter Joseph Botti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1023224441 | NPI | - | NPPES |
| 0332237 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LICDC.011280 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I. 0007687 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Coleman Professional Services, Inc. | 2769474618 | 51 |
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. Peter Joseph Botti allows following entities to bill medicare on his behalf.
| Entity Name | Coleman Professional Services, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982637633
PECOS PAC ID: 2769474618
Enrollment ID: O20040331001085 |
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| Entity Name | Springvale Health Centers, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477508406
PECOS PAC ID: 4688616980
Enrollment ID: O20050526000455 |
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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. Peter Joseph Botti 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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Peter Joseph Botti, LISW
625 Cleveland Ave Nw,
Canton, OH 44702-1805
Ph: (330) 455-0374 | Peter Joseph Botti, LISW
1207 W State St Ste M,
Alliance, OH 44601-4686
Ph: (330) 821-8407 |
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