Anna M Bottar, MD | |
336 Thompson Rd, Webster, MA 01570-1587 | |
(508) 943-5224 | |
(508) 949-2211 |
Full Name | Anna M Bottar |
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Gender | Female |
Speciality | Pediatrics |
Location | 336 Thompson Rd, Webster, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245573724 | NPI | - | NPPES |
110117075A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 266168 (Massachusetts) | Primary |
Entity Name | Umass Memorial Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
Mailing Address | Practice Location Address |
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Anna M Bottar, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Anna M Bottar, MD 336 Thompson Rd, Webster, MA 01570-1587 Ph: (508) 943-5224 |
Richard M Manjerovic, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 25 Colonial Rd, Webster, MA 01570 Phone: 508-943-4270 | |
Anthony P Talieri Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 336 Thompson Rd, Webster, MA 01570 Phone: 508-943-5224 Fax: 508-949-2211 | |
Susan Voute, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 336 Thompson Rd, Suite 3, Webster, MA 01570 Phone: 508-943-5224 Fax: 508-949-2211 |