Joshua M Novotny, NP is a medicare enrolled "Internal Medicine - Geriatric Medicine" in San Antonio, Texas. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1407552078.
Provider's Profile
Full Name | Joshua M Novotny |
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Gender | Male |
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Speciality | Internal Medicine - Geriatric Medicine |
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Location | 1209 S Saint Marys St Ste 231, San Antonio, Texas |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
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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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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