Kelly Ann Botta, PA-C - Physician Assistant in Winchester, VA

Kelly Ann Botta, PA-C is a Physician Assistant physician based in Winchester, Virginia. Kelly Ann Botta is licensed to practice in Virginia (license number 0110003257) and her current practice location is 340 N Pleasant Valley Rd, Winchester, Virginia. She can be reached at her office (for appointments etc.) via phone at (406) 926-1325.

NPI number for Kelly Ann Botta is 1215259668 and her current mailing address is 340 N Pleasant Valley Rd Po Box 4164, Winchester, Virginia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215259668.

Contact Information

Kelly Ann Botta, PA-C
340 N Pleasant Valley Rd,
Winchester, VA 22601-5608
(406) 926-1325
(540) 900-0959



Physician's Profile

Full NameKelly Ann Botta
GenderFemale
SpecialityPhysician Assistant
Location340 N Pleasant Valley Rd, Winchester, Virginia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215259668
  • Provider Enumeration Date: 02/25/2010
  • Last Update Date: 04/14/2023

Medical Identifiers

Medical identifiers for Kelly Ann Botta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215259668NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 0110003257 (Virginia)Secondary
363A00000XPhysician Assistant 0110003257 (Virginia)Primary

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. Kelly Ann Botta is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Ann Botta, PA-C
340 N Pleasant Valley Rd Po Box 4164,
Winchester, VA 22601

Ph: (540) 692-6132
Kelly Ann Botta, PA-C
340 N Pleasant Valley Rd,
Winchester, VA 22601-5608

Ph: (406) 926-1325

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