Mr Michael Charles Botnick, MSW is a
Social Worker - Clinical based in Coeur D' Alene, Idaho. Mr Michael Charles Botnick is licensed to practice in Idaho (license number CSW11) and his current practice location is
118 North 7th Street Suite B-12, Coeur D' Alene, Idaho. He can be reached at his office (for appointments etc.) via phone at
(208) 667-6606.
NPI number for Mr Michael Charles Botnick is 1801980370 and his current mailing address is 118 North 7th Street Suite B-12, Coeur D' Alene, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1801980370.
Healthcare Provider's Profile
| Full Name | Mr Michael Charles Botnick |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 118 North 7th Street Suite B-12, Coeur D' Alene, Idaho |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1801980370
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Mr Michael Charles Botnick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1801980370 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | CSW11 (Idaho) | 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. Mr Michael Charles Botnick 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 Address | Practice Location Address |
|---|
Mr Michael Charles Botnick, MSW
118 North 7th Street Suite B-12,
Coeur D' Alene, ID 83814
Ph: (208) 667-6606 | Mr Michael Charles Botnick, MSW
118 North 7th Street Suite B-12,
Coeur D' Alene, ID 83814
Ph: (208) 667-6606 |
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