| Joshua Randel Botteicher, | |
|
1800 E Park Ave, State College, PA 16803-6701 | |
| (814) 231-7000 | |
| (814) 231-7098 |
| Full Name | Joshua Randel Botteicher |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 13 Years |
| Location | 1800 E Park Ave, State College, Pennsylvania |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518232339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 7 (Ohio) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | OS018570 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mount Nittany Medical Center | State college, PA | Hospital |
| Milton S Hershey Medical Center | Hershey, PA | Hospital |
| Geisinger Medical Center | Danville, PA | Hospital |
| Geisinger-lewistown Hospital | Lewistown, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mount Nittany Medical Center Health Services Inc | 8426136797 | 296 |
| Entity Name | Centre Diagnostic Imaging Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306841929 PECOS PAC ID: 2961455183 Enrollment ID: O20050309000260 |
| Entity Name | Mount Nittany Medical Center Health Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598992554 PECOS PAC ID: 8426136797 Enrollment ID: O20081021000240 |
| Mailing Address | Practice Location Address |
|---|---|
| Joshua Randel Botteicher, 1800 E Park Ave, State College, PA 16803-6701 Ph: (814) 231-7000 | Joshua Randel Botteicher, 1800 E Park Ave, State College, PA 16803-6701 Ph: (814) 231-7000 |
Dr. Mary Ellen Fisher, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000 Fax: 814-234-6795 | |
Jerome D. Derdel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6726 Fax: 814-234-1553 | |
Dr. Ari Reuben Geselowitz, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6137 Fax: 814-234-6795 | |
Dr. Jack D Schocker, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 239 Colonnade Blvd, State College, PA 16803 Phone: 582-220-2218 Fax: 582-220-2219 | |
Jacob Michael Alexander, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-231-7000 Fax: 814-231-7098 | |
Anna C Hood, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1850 E Park Ave, Suite 105, State College, PA 16803 Phone: 814-231-3147 Fax: 814-231-7351 | |
Veeral B. Patel, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6726 Fax: 814-234-1553 |