| Anna M Bottar, MD | |
|
336 Thompson Rd, Webster, MA 01570-1587 | |
| (508) 943-5224 | |
| (508) 949-2211 |
| Full Name | Anna M Bottar |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
Dr. Deanna Sahady Richmond, M.S. Pediatrics Medicare: Medicare Enrolled Practice Location: 340 Thompson Rd, Webster, MA 01570 Phone: 508-943-5224 Fax: 508-949-2211 |