Mr John David Botero, NP-C - Medicare Nurse Practitioner in Lawrenceville, GA

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Mr John David Botero, NP-C is a medicare enrolled "Nurse Practitioner - Family" in Lawrenceville, Georgia. His current practice location is 631 Professional Dr Ste 450, Lawrenceville, Georgia. You can reach out to his office (for appointments etc.) via phone at (770) 963-8030.

Mr John David Botero is licensed to practice in Georgia (license number RN207415) 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 1083921274.

Contact Information

Mr John David Botero, NP-C
631 Professional Dr Ste 450,
Lawrenceville, GA 30046-3370
(770) 963-8030
(770) 339-9577

Map and Direction




Provider's Profile

Full NameMr John David Botero
GenderMale
SpecialityNurse Practitioner - Family
Location631 Professional Dr Ste 450, Lawrenceville, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1083921274
  • Provider Enumeration Date: 09/09/2010
  • Last Update Date: 09/09/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 9436308418
  • Enrollment ID: I20121008000276

Medical Identifiers

Medical identifiers for Mr John David Botero such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083921274NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN207415 (Georgia)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. Mr John David Botero allows following entities to bill medicare on his behalf.
Entity NamePhoebe Putney Memorial Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992789721
PECOS PAC ID: 4486559549
Enrollment ID: O20031203000397
Entity NameHartwell Emergency Physicians Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962540849
PECOS PAC ID: 6709980022
Enrollment ID: O20070327000195
Entity NameGwinnett Emergency Specialists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437346467
PECOS PAC ID: 0840373619
Enrollment ID: O20080218000080
Entity NameGwinnett Emergency Specialists Observation Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720373129
PECOS PAC ID: 7618140955
Enrollment ID: O20111101000364
Entity NameCep America Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124073721
PECOS PAC ID: 6608056171
Enrollment ID: O20121126000128
Entity NameSound Physicians Emergency Medicine Of Georgia Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447784988
PECOS PAC ID: 0143592469
Enrollment ID: O20170822001999

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. Mr John David Botero 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
Mr John David Botero, NP-C
631 Professional Dr Ste 450,
Lawrenceville, GA 30046-3370

Ph: (770) 963-8030		Mr John David Botero, NP-C
631 Professional Dr Ste 450,
Lawrenceville, GA 30046-3370

Ph: (770) 963-8030

Reviews and Comments


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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.