Dr Rafael Jesse Botta Jr, PSYD - Medicare Psychologist in Miami, FL

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Dr Rafael Jesse Botta Jr, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Miami, Florida. His current practice location is 9350 Sunset Dr Ste 151, Miami, Florida. You can reach out to his office (for appointments etc.) via phone at (786) 548-1022.

Dr Rafael Jesse Botta Jr is licensed to practice in Florida (license number PY7746) 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 1235387440.

Contact Information

Dr Rafael Jesse Botta Jr, PSYD
9350 Sunset Dr Ste 151,
Miami, FL 33173-3286
(786) 548-1022
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Rafael Jesse Botta Jr
GenderMale
SpecialityPsychologist - Clinical
Location9350 Sunset Dr Ste 151, Miami, Florida
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1235387440
  • Provider Enumeration Date: 08/29/2008
  • Last Update Date: 12/29/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4587881321
  • Enrollment ID: I20140819000576

Medical Identifiers

Medical identifiers for Dr Rafael Jesse Botta Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235387440NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PY7746 (Florida)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. Dr Rafael Jesse Botta Jr allows following entities to bill medicare on his behalf.
Entity NameDade Family Counseling Community Mental Health Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427055417
PECOS PAC ID: 0446164982
Enrollment ID: O20120626000064
Entity NameBalanced Wellbeing Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336513639
PECOS PAC ID: 5193021848
Enrollment ID: O20160307002587

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 Rafael Jesse Botta Jr 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
Dr Rafael Jesse Botta Jr, PSYD
17900 Nw 5th St, Suite 201,
Pembroke Pines, FL 33029-2808

Ph: (954) 494-6813		Dr Rafael Jesse Botta Jr, PSYD
9350 Sunset Dr Ste 151,
Miami, FL 33173-3286

Ph: (786) 548-1022

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.