Mrs Vijaya Botla, RDN, LD in San Antonio, TX - Medicare Dietitian, Registered Provider

Mrs Vijaya Botla, RDN, LD is a medicare enrolled "Dietitian, Registered" provider in San Antonio, Texas. Her current practice location is 621 Camden St, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (210) 336-4437.

Mrs Vijaya Botla is licensed to practice in Texas (license number DT81337) 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 1639569163.

Contact Information

	Mrs Vijaya Botla, RDN, LD
	621 Camden St, San Antonio, TX 78215-1612
	(210) 336-4437
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Vijaya Botla
Gender	Female
Speciality	Dietitian, Registered
Location	621 Camden St, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1639569163
Provider Enumeration Date: 02/04/2015
Last Update Date: 02/04/2015

Medicare PECOS Information:

PECOS PAC ID: 1557688488
Enrollment ID: I20150402000437

Medical Identifiers

Medical identifiers for Mrs Vijaya Botla such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639569163	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
133V00000X	Dietitian, Registered	DT81337 (Texas)	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. Mrs Vijaya Botla allows following entities to bill medicare on her behalf.

Provider Name	Alamo Nutrition Consultants Llc
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1801286331 PECOS PAC ID: 0648597575 Enrollment ID: O20150402000388

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. Mrs Vijaya Botla 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
Mrs Vijaya Botla, RDN, LD 621 Camden St, San Antonio, TX 78215-1612 Ph: (210) 336-4437	Mrs Vijaya Botla, RDN, LD 621 Camden St, San Antonio, TX 78215-1612 Ph: (210) 336-4437

Reviews and Comments

Dietitian, Registered in San Antonio, TX

Phillip W Kostroun, REGISTERED DIETITIAN Dietitian Medicare: Accepting Medicare Assignments Practice Location: 5107 Medical Dr, San Antonio, TX 78229 Phone: 210-614-8612 Fax: 210-615-5596
Ms. Leticia Gutierrez, MS.RD.LD. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 200 Concord Plaza Drive, Suite 430, San Antonio, TX 78216 Phone: 210-477-9242
Mrs. Kaylyn Pratt Randall, PA Dietitian Medicare: Medicare Enrolled Practice Location: 5430 Fredericksburg Rd Ste 508, San Antonio, TX 78229 Phone: 210-541-8281 Fax: 210-541-9123
Sarah Treat, MS, CCN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 16535 Huebner, Suite 112, San Antonio, TX 78248 Phone: 210-455-7892
Julia Ou, MS, RD, LD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 646 S Flores St, San Antonio, TX 78204 Phone: 210-938-8000
Ms. Karen Elizabeth Smith, MS, RD, CSO, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 2438 Rogers Loop, San Antonio, TX 78258 Phone: 609-851-4469
Mrs. Ashley Schmidt, MS, RDN Dietitian Medicare: Medicare Enrolled Practice Location: 18911 Hardy Oak Blvd Ste 259, San Antonio, TX 78258 Phone: 210-201-6551 Fax: 877-850-5662

Mrs Vijaya Botla, RDN, LD - Medicare Dietitian in San Antonio, TX