Dr Kasandra Ann Botti, DO | |
1800 E Park Ave, State College, PA 16803-6701 | |
(814) 234-6110 | |
Not Available |
Full Name | Dr Kasandra Ann Botti |
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Gender | Female |
Speciality | Emergency Medicine |
Location | 1800 E Park Ave, State College, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285652065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | OS-010604-L (Pennsylvania) | Primary |
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
Entity Name | Centre Emergency Medical Associates, Pc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1609891365 PECOS PAC ID: 3375529183 Enrollment ID: O20040624000578 |
Mailing Address | Practice Location Address |
---|---|
Dr Kasandra Ann Botti, DO 118 Forbes Field Cir, Boalsburg, PA 16827-1905 Ph: (814) 466-6779 | Dr Kasandra Ann Botti, DO 1800 E Park Ave, State College, PA 16803-6701 Ph: (814) 234-6110 |
Jason Ferderber, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1700 Old Gatesburg Rd Ste 200, State College, PA 16803 Phone: 814-237-4321 Fax: 814-235-0484 | |
Dr. Kevin Allan Mishock, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, Mount Nittany Medical Center, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Christine Louise Tichansky, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 120 Radnor Rd, Ste 100, State College, PA 16801 Phone: 814-231-7868 Fax: 814-238-4169 | |
Teresa Dolan, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1800 E Park Ave, C/o Mount Nittany Medical Center, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Ryan Michael Burton, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1800 E Park Ave, State College, PA 16803 Phone: 814-234-6110 | |
Dr. Mina Salib, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 611 University Dr, State College, PA 16801 Phone: 814-375-4045 |