| Sara Ashley Botterill, MD | |
|
1901 Connecticut Ave S, Sartell, MN 56377-2554 | |
| (320) 259-4100 | |
| (320) 257-5523 |
| Full Name | Sara Ashley Botterill |
|---|---|
| Gender | Female |
| Speciality | Physical Medicine And Rehabilitation |
| Experience | 23 Years |
| Location | 1901 Connecticut Ave S, Sartell, Minnesota |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881809549 | NPI | - | NPPES |
| 1881809549 | Medicaid | MN | |
| 1881809549 | Medicaid | VA | |
| P00686666 | Other | VA | MEDICARE RAILROAD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 0101244146 (Virginia) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | 65017 (Minnesota) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Glacial Ridge Hospital | Glenwood, MN | Hospital |
| St Cloud Hospital | Saint cloud, MN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Cloud Orthopedic Associates Ltd | 0143113951 | 47 |
| Glacial Ridge Hospital District | 5294789194 | 49 |
| Medical Scanning Consultants Pa | 9032005376 | 81 |
| Entity Name | St Cloud Orthopedic Associates Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083638761 PECOS PAC ID: 0143113951 Enrollment ID: O20040205000502 |
| Entity Name | Medical Scanning Consultants Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1659348092 PECOS PAC ID: 9032005376 Enrollment ID: O20040224001139 |
| Entity Name | Glacial Ridge Hospital District |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1255348223 PECOS PAC ID: 5294789194 Enrollment ID: O20050719000315 |
| Mailing Address | Practice Location Address |
|---|---|
| Sara Ashley Botterill, MD 1901 Connecticut Ave S, Sartell, MN 56377-2554 Ph: (320) 259-4100 | Sara Ashley Botterill, MD 1901 Connecticut Ave S, Sartell, MN 56377-2554 Ph: (320) 259-4100 |
Dr. Adam Jeffrey Rupp, DO Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 804 23rd St S, Sartell, MN 56377 Phone: 320-230-7788 | |
Mr. Mark J Thibault, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1901 Connecticut Ave S, Sartell, MN 56377 Phone: 320-259-4100 Fax: 320-257-5523 | |
Ramon P Sotto, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 166 19th St S, Suite 101, Sartell, MN 56377 Phone: 320-230-7788 Fax: 320-230-7789 |