Lee Theodore Bottem, DO - Medicare Ophthalmology in Broken Arrow, OK

Lee Theodore Bottem, DO is a medicare enrolled "Ophthalmology" physician in Broken Arrow, Oklahoma. He went to Des Moines University Of Osteopathic Medicine And Health Sciences and graduated in 2002 and has 22 years of diverse experience with area of expertise as Ophthalmology. His current practice location is 4700 W Urbana St, Broken Arrow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (918) 290-2300.

Lee Theodore Bottem is licensed to practice in Oklahoma (license number 4175) 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 1679745418.

Contact Information

Lee Theodore Bottem, DO
4700 W Urbana St,
Broken Arrow, OK 74012-5997
(918) 290-2300
(918) 290-2310

Map and Direction




Physician's Profile

Full NameLee Theodore Bottem
GenderMale
SpecialityOphthalmology
Experience22 Years
Location4700 W Urbana St, Broken Arrow, Oklahoma
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Lee Theodore Bottem attended and graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 2002
  NPI Data:
  • NPI Number: 1679745418
  • Provider Enumeration Date: 04/01/2008
  • Last Update Date: 09/06/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5991754699
  • Enrollment ID: I20050310000653

Medical Identifiers

Medical identifiers for Lee Theodore Bottem such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679745418NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207W00000XOphthalmology 4175 (Oklahoma)Primary

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. Lee Theodore Bottem allows following entities to bill medicare on his behalf.
Entity NameLee Bottem, D.o., Plc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104157296
PECOS PAC ID: 8325173834
Enrollment ID: O20100430000708

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. Lee Theodore Bottem 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 AddressPractice Location Address
Lee Theodore Bottem, DO
4700 W Urbana St,
Broken Arrow, OK 74012-5997

Ph: (918) 290-2300
Lee Theodore Bottem, DO
4700 W Urbana St,
Broken Arrow, OK 74012-5997

Ph: (918) 290-2300

Reviews and Comments


Ophthalmology Doctors in Broken Arrow, OK

Robert Ellis Baker, DO
Ophthalmology
Medicare: Medicare Enrolled
Practice Location: 111 W Broadway Ave, Broken Arrow, OK 74012
Phone: 918-258-5656    Fax: 918-258-8722

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.