Dr Kasandra Ann Botti, DO - Medicare Emergency Medicine in State College, PA

Dr Kasandra Ann Botti, DO is a medicare enrolled "Emergency Medicine" physician in State College, Pennsylvania. Her current practice location is 1800 E Park Ave, State College, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (814) 234-6110.

Dr Kasandra Ann Botti is licensed to practice in Pennsylvania (license number OS-010604-L) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1285652065.

Contact Information

Dr Kasandra Ann Botti, DO
1800 E Park Ave,
State College, PA 16803-6701
(814) 234-6110
Not Available



Physician's Profile

Full NameDr Kasandra Ann Botti
GenderFemale
SpecialityEmergency Medicine
Location1800 E Park Ave, State College, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285652065
  • Provider Enumeration Date: 07/18/2006
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 3870779291
  • Enrollment ID: I20110519000818

Medical Identifiers

Medical identifiers for Dr Kasandra Ann Botti such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285652065NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine OS-010604-L (Pennsylvania)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 Kasandra Ann Botti allows following entities to bill medicare on her behalf.
Entity NameGeisinger Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366493868
PECOS PAC ID: 5395657001
Enrollment ID: O20040130000518

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Entity NameCentre Emergency Medical Associates, Pc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609891365
PECOS PAC ID: 3375529183
Enrollment ID: O20040624000578

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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. Dr Kasandra Ann Botti 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 Kasandra Ann Botti, DO
118 Forbes Field Cir,
Boalsburg, PA 16827-1905

Ph: (814) 466-6779
Dr Kasandra Ann Botti, DO
1800 E Park Ave,
State College, PA 16803-6701

Ph: (814) 234-6110

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› Verified 9 days ago


Emergency Medicine Doctors in State College, PA

Jason Ferderber,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1700 Old Gatesburg Rd Ste 200, State College, PA 16803
Phone: 814-237-4321    Fax: 814-235-0484
Dr. Kevin Allan Mishock, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Park Ave, Mount Nittany Medical Center, State College, PA 16803
Phone: 814-234-6110    
Dr. Christine Louise Tichansky, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 120 Radnor Rd, Ste 100, State College, PA 16801
Phone: 814-231-7868    Fax: 814-238-4169
Teresa Dolan,
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1800 E Park Ave, C/o Mount Nittany Medical Center, State College, PA 16803
Phone: 814-234-6110    
Dr. Ryan Michael Burton, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1800 E Park Ave, State College, PA 16803
Phone: 814-234-6110    
Dr. Mina Salib, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 611 University Dr, State College, PA 16801
Phone: 814-375-4045    

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