Dr Elizabeth Rose Botham, MD is a medicare enrolled "Dermatology" physician in Hackettstown, New Jersey. She went to Rutgers R W Johnson Medical School (cam/new Bruns/pisc) and graduated in 2012 and has 13 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Natural Image Skin Center and her current practice location is
108 Bilby Rd, Hackettstown, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 509-1938.
Dr Elizabeth Rose Botham is licensed to practice in New Jersey (license number 25MA09634800) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669732467.
Physician's Profile
| Full Name | Dr Elizabeth Rose Botham |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 13 Years |
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| Location | 108 Bilby Rd, Hackettstown, New Jersey |
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| Accepts Medicare Assignments | Yes. She 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 Elizabeth Rose Botham attended and graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 2012
NPI Data:
- NPI Number: 1669732467
- Provider Enumeration Date: 05/25/2012
- Last Update Date: 02/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 5799050837
- Enrollment ID: I20170929000678
Medical Identifiers
Medical identifiers for Dr Elizabeth Rose Botham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669732467 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207NP0225X | Dermatology - Pediatric Dermatology | 285736 (New York) | Secondary |
| 207N00000X | Dermatology | 25MA09634800 (New Jersey) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Natural Image Skin Center | 1557502390 | 8 |
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 Elizabeth Rose Botham allows following entities to bill medicare on her behalf.
| Entity Name | Natural Image Skin Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730427030
PECOS PAC ID: 1557502390
Enrollment ID: O20130722000033 |
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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 Elizabeth Rose Botham 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 Elizabeth Rose Botham, MD
1 Diamond Hill Rd,
Berkeley Heights, NJ 07922-2104
Ph: () - | Dr Elizabeth Rose Botham, MD
108 Bilby Rd,
Hackettstown, NJ 07840-4174
Ph: (908) 509-1938 |
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