| Shannon Bottari, MD | |
|
585 Lebanon St, Melrose, MA 02176-3225 | |
| (781) 937-4522 | |
| Not Available |
| Full Name | Shannon Bottari |
|---|---|
| Gender | Female |
| Speciality | Emergency Medicine |
| Experience | 22 Years |
| Location | 585 Lebanon St, Melrose, Massachusetts |
| 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 |
|---|---|---|---|
| 1922020353 | NPI | - | NPPES |
| J40959 | Other | MA | BLUE SHIELD |
| 2126966 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 225017 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Melrosewakefield Healthcare | Melrose, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Melrose Wakefield Emergency Physicians, Inc | 0244143006 | 2 |
| Hallmark Health Urgent Care Physicians Llc | 1153557616 | 23 |
| Entity Name | Melrose Wakefield Emergency Physicians, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790730539 PECOS PAC ID: 0244143006 Enrollment ID: O20031107000277 |
| Entity Name | Hallmark Health Urgent Care Physicians Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184066912 PECOS PAC ID: 1153557616 Enrollment ID: O20131112001050 |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Bottari, MD 12 Gill St, Ste 3000, Woburn, MA 01801-1728 Ph: (781) 937-4522 | Shannon Bottari, MD 585 Lebanon St, Melrose, MA 02176-3225 Ph: (781) 937-4522 |
Alexander O. Walker Iii, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-979-3635 | |
Thomas L Michelman, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 585 Lebanon St, Whidden Memorial Hosp, Melrose, MA 02176 Phone: 781-979-3300 | |
Dr. Steven Sbardella, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-937-4522 | |
Christopher L Defazio, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-979-3635 Fax: 781-979-3018 | |
Lawrence Whiting, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-937-4522 | |
John Nadolny, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-937-4522 | |
Manu Sondhi, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 585 Lebanon St, Melrose, MA 02176 Phone: 781-937-4522 |