Dr Katherine Bothos, PSYD in Fairfield, CT - Medicare Clinical Psychologist Provider

Dr Katherine Bothos, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fairfield, Connecticut. She graduated from medical school in 2001 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Southern Connecticut Christian Counseling Center and her current practice location is 170 Post Rd, Suite 208, Fairfield, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 445-3736.

Dr Katherine Bothos is licensed to practice in Connecticut (license number 002950) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1114254836.

Contact Information

	Dr Katherine Bothos, PSYD
	170 Post Rd, Suite 208, Fairfield, CT 06824-6242
	(203) 445-3736
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Katherine Bothos
Gender	Female
Speciality	Clinical Psychologist
Experience	24 Years
Location	170 Post Rd, Fairfield, Connecticut
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Katherine Bothos graduated from medical school in 2001

NPI Data:

NPI Number: 1114254836
Provider Enumeration Date: 11/17/2009
Last Update Date: 03/21/2017

Medicare PECOS Information:

PECOS PAC ID: 6204197312
Enrollment ID: I20180307000748

Medical Identifiers

Medical identifiers for Dr Katherine Bothos such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114254836	NPI	-	NPPES
008025366	Medicaid	CT
PENDING	Other	CT	BEACON HEALTH- VALUE OPTIONS AWAKEN THE POWER THERAPY, LLC
PENDING	Other	CT	OPTUM BEHAVIORAL HEALTH- UHC AWAKEN THE POWER THERAPY, LLC
06002950CT02	Other	CT	ANTHEM BCBS OF CT- BOTHOS. MD
PENDING	Other	CT	ANTHEM BCBS OF CT -AWAKEN THE POWER THERAPY, LLC
PENDING	Other	CT	OPTUM BEHAVIORAL HEALTH- OXFORD/FREEDOM AWAKEN THE POWER THERAPY, LLC
PENDING	Other	CT	FEI BEHAVIORAL HEALTH AWAKEN THE POWER THERAPY, LLC
PENDING	Other	CT	OPTUM BEHAVIORAL HEALTH- AWAKEN THE POWER THERAPY, LLC
3239811	Other	CT	CIGNA BEHAVIORAL HEALTH BOTHOS, MD
PENDING	Other	CT	MULTI-PLAN -AWAKEN THE POWER THERAPY, LLC
PENDING	Other	CT	OPTUM BEHAVIORAL HEALTH CONNECTICARE- AWAKEN THE POWER THERAPY, LLC
12099166	Other	CT	CAQH
PENDING	Other	CT	CIGNA BEHAVIORAL HEALTH- AWAKEN THE POWER THERAPY, LLC
PENDING	Other	CT	HEALTHY CT- AWAKEN THE POWER THERAPY, LLC
004553	Other	CT	CTBPH/BEACON HEALTH VOPTIONS BOTHS,MD
PENDING	Other	CT	THREE RIVERS AWAKEN THE POWER THERAPY, LLC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	002950 (Connecticut)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Southern Connecticut Christian Counseling Center	9133266109	8

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. Dr Katherine Bothos allows following entities to bill medicare on her behalf.

Entity Name	Southern Connecticut Christian Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164652871 PECOS PAC ID: 9133266109 Enrollment ID: O20091023000126

Entity Name	Dr Katherine Bothos Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1871044388 PECOS PAC ID: 1759642861 Enrollment ID: O20180307000666

Entity Name	Real Talk Ct
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1467948752 PECOS PAC ID: 5395182554 Enrollment ID: O20240322003292

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. Dr Katherine Bothos 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
Dr Katherine Bothos, PSYD 170 Post Rd, Suite 208, Fairfield, CT 06824-6242 Ph: (203) 445-3736	Dr Katherine Bothos, PSYD 170 Post Rd, Suite 208, Fairfield, CT 06824-6242 Ph: (203) 445-3736

Reviews and Comments

Psychologist in Fairfield, CT

Dr. Jennifer Rachel Pleasure, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1492 Unquowa Rd, Fairfield, CT 06824 Phone: 202-253-4475
Dr. Kim L Feinstein, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1088 Black Rock Tpke, Fairfield, CT 06825 Phone: 203-368-9084 Fax: 203-334-4647
Dr. Whitney Buckley, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2228 Black Rock Tpke Ste 304, Fairfield, CT 06825 Phone: 203-993-0479
Dr. Lawrence Donald Ludwig, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 75 Hillside Rd, Fairfield, CT 06824 Phone: 203-256-9788 Fax: 203-374-7720
Dr. James Saluk, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1700 Post Rd Ste C18, Fairfield, CT 06824 Phone: 203-259-4048 Fax: 203-551-7643
Dr. Linda Michlin Ludwig, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 75 Hillside Rd, Fairfield, CT 06824 Phone: 203-256-9788 Fax: 203-374-7720

Dr Katherine Bothos, PSYD - Medicare Psychologist in Fairfield, CT