Dr Issa M Botros, MD in San Pedro, CA - Medicare Family Practice

Dr Issa M Botros, MD is a medicare enrolled "Family Medicine - Adult Medicine" physician in San Pedro, California. He graduated from medical school in 1987 and has 37 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Providence Medical Institute and his current practice location is 1499 W 1st St, San Pedro, California. You can reach out to his office (for appointments etc.) via phone at (310) 241-2590.

Dr Issa M Botros is licensed to practice in California (license number A106987) 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 1124227772.

Contact Information

	Dr Issa M Botros, MD
	1499 W 1st St, San Pedro, CA 90732-3255
	(310) 241-2590
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Issa M Botros
Gender	Male
Speciality	Family Practice
Experience	37 Years
Location	1499 W 1st St, San Pedro, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Issa M Botros graduated from medical school in 1987

NPI Data:

NPI Number: 1124227772
Provider Enumeration Date: 07/13/2007
Last Update Date: 11/30/2021

Medicare PECOS Information:

PECOS PAC ID: 8022163211
Enrollment ID: I20120410000184

Medical Identifiers

Medical identifiers for Dr Issa M Botros such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124227772	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QA0505X	Family Medicine - Adult Medicine	4301090843 (Michigan)	Secondary
207QA0505X	Family Medicine - Adult Medicine	A106987 (California)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence Little Company Of Mary Med Ctr Torrance	Torrance, CA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Medical Institute	5991609737	290

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 Issa M Botros allows following entities to bill medicare on his behalf.

Entity Name	Providence Medical Institute
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417915760 PECOS PAC ID: 5991609737 Enrollment ID: O20031121000910

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 Issa M Botros 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
Dr Issa M Botros, MD 1499 W 1st St, San Pedro, CA 90732-3255 Ph: (310) 241-2590	Dr Issa M Botros, MD 1499 W 1st St, San Pedro, CA 90732-3255 Ph: (310) 241-2590

Reviews and Comments

Family Medicine Doctors in San Pedro, CA

Lawrence Bruce Greenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1499 W 1st St, San Pedro, CA 90732 Phone: 310-831-9482 Fax: 310-831-1230
Krupa Shah, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 N Western Ave, San Pedro, CA 90732 Phone: 310-832-4225 Fax: 310-831-4860
Shanna Lee Darling, N.P. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 W 6th St, San Pedro, CA 90732 Phone: 310-415-5521
Mr. Francisco J Correa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1350 W 6th St, Ste 3, San Pedro, CA 90732 Phone: 310-241-1000 Fax: 310-227-8225
Dr. Anh Tam Nguyen, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: Bldg 30, 2400 S Pacific Ave, San Pedro, CA 90731 Phone: 310-653-8668
Michael Schreiber, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 660 W 7th St, San Pedro, CA 90731 Phone: 818-488-4711 Fax: 818-337-7105

Dr Issa M Botros, MD - Medicare Family Practice in San Pedro, CA