Ciera Caprice Botzheim, PSYD is a
Psychologist - Clinical based in Medical Lake, Washington. Ciera Caprice Botzheim is licensed to practice in Washington (license number PY60820221) and her current practice location is
Eastern State Hospital, 850 Maple Street, Medical Lake, Washington. She can be reached at her office (for appointments etc.) via phone at
(509) 565-4000.
NPI number for Ciera Caprice Botzheim is 1255754594 and her current mailing address is Eastern State Hospital, Po Box 800, Medical Lake, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255754594.
Healthcare Provider's Profile
| Full Name | Ciera Caprice Botzheim |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | Eastern State Hospital, Medical Lake, Washington |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255754594
- Provider Enumeration Date: 01/22/2014
- Last Update Date: 07/18/2018
Medical Identifiers
Medical identifiers for Ciera Caprice Botzheim such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255754594 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY60820221 (Washington) | 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. Ciera Caprice Botzheim 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 |
|---|
Ciera Caprice Botzheim, PSYD
Eastern State Hospital, Po Box 800,
Medical Lake, WA 99022-0800
Ph: (509) 565-4000 | Ciera Caprice Botzheim, PSYD
Eastern State Hospital, 850 Maple Street,
Medical Lake, WA 99022-0800
Ph: (509) 565-4000 |
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