Joshua M Novotny, NP is a medicare enrolled "Internal Medicine - Geriatric Medicine" in San Antonio, Texas. He graduated from nursing school in 2023 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Rise Up Rehab, Llc, Quality Of Life Holistic Care Llc and his current practice location is
1209 S Saint Marys St Ste 231, San Antonio, Texas. You can reach out to his office (for appointments etc.) via phone at
(210) 980-4767.
Joshua M Novotny is licensed to practice in Texas (license number 1111849) 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 1407552078.
Provider's Profile
| Full Name | Joshua M Novotny |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 2 Years |
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| Location | 1209 S Saint Marys St Ste 231, San Antonio, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Joshua M Novotny graduated from nursing school in 2023
NPI Data:
- NPI Number: 1407552078
- Provider Enumeration Date: 02/06/2023
- Last Update Date: 05/14/2025
Medicare PECOS Information:
- PECOS PAC ID: 8224495650
- Enrollment ID: I20230531000565
Medical Identifiers
Medical identifiers for Joshua M Novotny such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1407552078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 163W00000X | Registered Nurse | 948740 (Texas) | Secondary |
| 163WH0200X | Registered Nurse - Home Health | 111849 (Texas) | Secondary |
| 208600000X | Surgery | 1111849 (Texas) | Secondary |
| 363LG0600X | Nurse Practitioner - Gerontology | 1111849 (Texas) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | 1111849 (Texas) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Rise Up Rehab, Llc | 3274861497 | 62 |
| Quality Of Life Holistic Care Llc | 4789021155 | 2 |
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. Joshua M Novotny allows following entities to bill medicare on his behalf.
| Entity Name | Visiting Practitioners & Palliative Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063043255 PECOS PAC ID: 6305276288 Enrollment ID: O20200416001000 |
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| Entity Name | Quality Of Life Holistic Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215794318 PECOS PAC ID: 4789021155 Enrollment ID: O20240320003295 |
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| Entity Name | Quality Wound Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184421935 PECOS PAC ID: 4587174412 Enrollment ID: O20250610002483 |
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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. Joshua M Novotny 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 Address | Practice Location Address |
Joshua M Novotny, NP 105 Crimson Tree, Cibolo, TX 78108-4325 Ph: (210) 980-4767 | Joshua M Novotny, NP 1209 S Saint Marys St Ste 231, San Antonio, TX 78210-1245 Ph: (210) 980-4767 |
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