Pauline Odofole Botchway, LPC, NCC in Eugene, OR

Pauline Odofole Botchway, LPC, NCC is a medicare enrolled "Counselor - Professional" provider in Eugene, Oregon. Her current practice location is 66 Club Rd Ste 350, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 343-1728.

Pauline Odofole Botchway is licensed to practice in Oregon (license number C4209) 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 1861847907.

Contact Information

	Pauline Odofole Botchway, LPC, NCC
	66 Club Rd Ste 350, Eugene, OR 97401-2599
	(541) 343-1728
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Pauline Odofole Botchway
Gender	Female
Speciality	Counselor - Professional
Location	66 Club Rd Ste 350, Eugene, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861847907
Provider Enumeration Date: 04/26/2016
Last Update Date: 09/30/2022

Medicare PECOS Information:

PECOS PAC ID: 0345683702
Enrollment ID: I20240213002404

Medical Identifiers

Medical identifiers for Pauline Odofole Botchway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861847907	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	72440 (Texas)	Secondary
101YM0800X	Counselor - Mental Health	C4209 (Oregon)	Secondary
101YP2500X	Counselor - Professional	C4209 (Oregon)	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. Pauline Odofole Botchway allows following entities to bill medicare on her behalf.

Entity Name	Lisa J Griffin
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336678952 PECOS PAC ID: 7214263755 Enrollment ID: O20190722003139

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. Pauline Odofole Botchway 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 Address	Practice Location Address
Pauline Odofole Botchway, LPC, NCC P.o. Box 8549, Coburg, OR 97408 Ph: (541) 687-1110	Pauline Odofole Botchway, LPC, NCC 66 Club Rd Ste 350, Eugene, OR 97401-2599 Ph: (541) 343-1728

Reviews and Comments

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Jennifer Karen Gerrard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1720 W 25th Ave, Eugene, OR 97405 Phone: 541-343-9706 Fax: 541-683-3748
Mr. Adam David Couch, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3692 Hickory Ave, Eugene, OR 97401 Phone: 541-284-7800
Susan Elizabeth Pepper-reed, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1258 High St, Eugene, OR 97401 Phone: 541-342-8437 Fax: 541-242-2999

Pauline Odofole Botchway, LPC, NCC - Medicare Counselor in Eugene, OR