Nicole Marie Bothman, - Medicare Nurse Practitioner in Libby, MT

Nicole Marie Bothman, is a medicare enrolled "Nurse Practitioner" in Libby, Montana. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice St Johns Lutheran Hospital Inc and her current practice location is 308 Louisiana Ave Ste 1, Libby, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 283-6800.

Nicole Marie Bothman is licensed to practice in Montana (license number NUR-APRN-APP-144934) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1437717360.

Contact Information

Nicole Marie Bothman,
308 Louisiana Ave Ste 1,
Libby, MT 59923-2159
(406) 283-6800
Not Available



Provider's Profile

Full NameNicole Marie Bothman
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location308 Louisiana Ave Ste 1, Libby, Montana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Nicole Marie Bothman graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1437717360
  • Provider Enumeration Date: 06/05/2019
  • Last Update Date: 06/11/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5799015996
  • Enrollment ID: I20191002000671

Medical Identifiers

Medical identifiers for Nicole Marie Bothman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1437717360NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner NUR-APRN-APP-144934 (Montana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Cabinet Peaks Medical CenterLibby, MTHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
St Johns Lutheran Hospital Inc155725567620

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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. Nicole Marie Bothman allows following entities to bill medicare on her behalf.
Entity NameSt Johns Lutheran Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952312050
PECOS PAC ID: 1557255676
Enrollment ID: O20040210000931

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Entity NameSt Johns Lutheran Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1952312050
PECOS PAC ID: 1557255676
Enrollment ID: O20120405000136

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Entity NameFamily Health & Wellness Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275118085
PECOS PAC ID: 9436566437
Enrollment ID: O20210317003084

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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. Nicole Marie Bothman 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
Nicole Marie Bothman,
308 Louisiana Ave Ste 1,
Libby, MT 59923-2159

Ph: (406) 283-6800
Nicole Marie Bothman,
308 Louisiana Ave Ste 1,
Libby, MT 59923-2159

Ph: (406) 283-6800

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Nurse Practitioner Nurses in Libby, MT

Riki Lee Thompson, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 350 Louisiana Ave, Libby, MT 59923
Phone: 406-283-6850    
Nicole Desiree Haats, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 308 Louisiana Ave Ste 5, Libby, MT 59923
Phone: 406-293-6594    
Mrs. Lorna M Shea, FNPC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 211 E 2nd St, Libby, MT 59923
Phone: 406-293-8711    Fax: 406-293-8735
Ms. Michelle Lynn Boltz, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 214 E 3rd St, Libby, MT 59923
Phone: 406-293-9274    Fax: 406-293-9280
Natasha Haines, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 116 E Balsam St, Libby, MT 59923
Phone: 406-334-4550    
Mrs. Adrianne Claire Joanne Roddy, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 211 E 2nd St, Libby, MT 59923
Phone: 406-293-8711    
Mrs. Virginia Fikes, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 211 E 2nd St, Libby, MT 59923
Phone: 406-293-8711    

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