Adam Keith Boettcher, MD - Medicare Plastic And Reconstructive Surgery in Flagstaff, AZ

Adam Keith Boettcher, MD is a medicare enrolled "Surgery" physician in Flagstaff, Arizona. He went to University Of Minnesota Medical School and graduated in 2007 and has 17 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Plastic Surgeons Of Northern Arizona, Pllc and his current practice location is 1020 N San Francisco St Ste 200, Flagstaff, Arizona. You can reach out to his office (for appointments etc.) via phone at (928) 774-2300.

Adam Keith Boettcher is licensed to practice in Michigan (license number 4301090356) 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 1134325012.

Contact Information

Adam Keith Boettcher, MD
1020 N San Francisco St Ste 200,
Flagstaff, AZ 86001-3281
(928) 774-2300
Not Available



Physician's Profile

Full NameAdam Keith Boettcher
GenderMale
SpecialityPlastic And Reconstructive Surgery
Experience17 Years
Location1020 N San Francisco St Ste 200, Flagstaff, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Adam Keith Boettcher attended and graduated from University Of Minnesota Medical School in 2007
  NPI Data:
  • NPI Number: 1134325012
  • Provider Enumeration Date: 06/26/2007
  • Last Update Date: 01/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4688824949
  • Enrollment ID: I20121022000613

Medical Identifiers

Medical identifiers for Adam Keith Boettcher such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134325012NPI-NPPES
P707631MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2086S0122XSurgery - Plastic And Reconstructive Surgery 45896 (Arizona)Secondary
208600000XSurgery 4301090356 (Michigan)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Flagstaff Medical CenterFlagstaff, AZHospital
Yavapai Regional Medical CenterPrescott, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Plastic Surgeons Of Northern Arizona, Pllc82249221825

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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. Adam Keith Boettcher allows following entities to bill medicare on his behalf.
Entity NamePlastic Surgeons Of Northern Arizona, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871531418
PECOS PAC ID: 8224922182
Enrollment ID: O20040211000614

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Entity NameNorthern Arizona Healthcare Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669914552
PECOS PAC ID: 3577473362
Enrollment ID: O20170801003409

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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. Adam Keith Boettcher 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
Adam Keith Boettcher, MD
1020 N San Francisco St Ste 200,
Flagstaff, AZ 86001-3281

Ph: (928) 774-2300
Adam Keith Boettcher, MD
1020 N San Francisco St Ste 200,
Flagstaff, AZ 86001-3281

Ph: (928) 774-2300

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Surgery Doctors in Flagstaff, AZ

Daniel E Wesche, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 77 W Forest Ave, Suite 201, Flagstaff, AZ 86001
Phone: 928-773-2222    Fax: 928-773-2598
Nicole Renee Sydow, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1215 N Beaver St, Suite 203, Flagstaff, AZ 86001
Phone: 928-773-2150    
Kate Preston, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 77 W Forest Ave Ste 201, Flagstaff, AZ 86001
Phone: 928-773-2222    Fax: 928-773-2598
Dr. Douglas John Carlon, MD
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1895 N Jasper Dr Ste 1, Flagstaff, AZ 86001
Phone: 928-773-2332    Fax: 623-524-8959
Eric Davis Kendle, M.D.
Surgery
Medicare: Not Enrolled in Medicare
Practice Location: 77 W Forest Ave, Suite 202, Flagstaff, AZ 86001
Phone: 928-773-2500    Fax: 928-773-2502
Robert A Berger, M.D.
Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 77 W Forest Ave Ste 201, Flagstaff, AZ 86001
Phone: 928-773-2222    Fax: 928-773-2598

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