Kelly Ann Botta, PA-C is a
Physician Assistant physician based in Winchester, Virginia. Kelly Ann Botta is licensed to practice in Virginia (license number 0110003257) and her current practice location is 340 N Pleasant Valley Rd, Winchester, Virginia. She can be reached at her office (for appointments etc.) via phone at
(406) 926-1325.
NPI number for Kelly Ann Botta is 1215259668 and her current mailing address is 340 N Pleasant Valley Rd Po Box 4164, Winchester, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215259668.
Physician's Profile
| Full Name | Kelly Ann Botta |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 340 N Pleasant Valley Rd, Winchester, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1215259668
- Provider Enumeration Date: 02/25/2010
- Last Update Date: 04/14/2023
Medical Identifiers
Medical identifiers for Kelly Ann Botta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215259668 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 0110003257 (Virginia) | Secondary |
| 363A00000X | Physician Assistant | 0110003257 (Virginia) | Primary |
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. Kelly Ann Botta is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kelly Ann Botta, PA-C
340 N Pleasant Valley Rd Po Box 4164,
Winchester, VA 22601
Ph: (540) 692-6132 | Kelly Ann Botta, PA-C
340 N Pleasant Valley Rd,
Winchester, VA 22601-5608
Ph: (406) 926-1325 |
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