Dr Robert Kingsbury Botta, MD is a medicare enrolled "Surgery - Vascular Surgery" physician in Watertown, Connecticut. He went to University Of Connecticut School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Vascular Surgery. He is a member of the group practice Southern Connecticut Vascular Center Llc and his current practice location is
595 Straits Tpke Unit 2, Watertown, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(203) 262-9979.
Dr Robert Kingsbury Botta is licensed to practice in Connecticut (license number 64159) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1780094326.
Physician's Profile
| Full Name | Dr Robert Kingsbury Botta |
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| Gender | Male |
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| Speciality | Vascular Surgery |
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| Experience | 10 Years |
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| Location | 595 Straits Tpke Unit 2, Watertown, Connecticut |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Robert Kingsbury Botta attended and graduated from University Of Connecticut School Of Medicine in 2014
NPI Data:
- NPI Number: 1780094326
- Provider Enumeration Date: 05/05/2014
- Last Update Date: 06/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 4486973393
- Enrollment ID: I20190919002212
Medical Identifiers
Medical identifiers for Dr Robert Kingsbury Botta such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780094326 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2086S0129X | Surgery - Vascular Surgery | 64159 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southern Connecticut Vascular Center Llc | 8527951532 | 32 |
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. Dr Robert Kingsbury Botta allows following entities to bill medicare on his behalf.
| Entity Name | Southern Connecticut Vascular Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033318175
PECOS PAC ID: 8527951532
Enrollment ID: O20040204000449 |
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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. Dr Robert Kingsbury Botta 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 |
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Dr Robert Kingsbury Botta, MD
6 Research Dr Ste 105,
Shelton, CT 06484-6228
Ph: (203) 210-6340 | Dr Robert Kingsbury Botta, MD
595 Straits Tpke Unit 2,
Watertown, CT 06795-3356
Ph: (203) 262-9979 |
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