Grant Wade Botker, MD in Ortonville, MN - Medicare Family Practice

Grant Wade Botker, MD is a medicare enrolled "Family Medicine" physician in Ortonville, Minnesota. He went to University Of Minnesota, Duluth School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Ortonville Area Health Services, Ortonville Area Health Services, Sanford Health Network and his current practice location is 450 Eastvold Ave, Ortonville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (320) 839-6157.

Grant Wade Botker is licensed to practice in Minnesota (license number 57981) 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 1295026532.

Contact Information

	Grant Wade Botker, MD
	450 Eastvold Ave, Ortonville, MN 56278-1133
	(320) 839-6157
	(320) 839-3851

Map and Direction

Physician's Profile

Full Name	Grant Wade Botker
Gender	Male
Speciality	Family Practice
Experience	13 Years
Location	450 Eastvold Ave, Ortonville, Minnesota
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Grant Wade Botker attended and graduated from University Of Minnesota, Duluth School Of Medicine in 2011

NPI Data:

NPI Number: 1295026532
Provider Enumeration Date: 04/20/2011
Last Update Date: 02/28/2024

Medicare PECOS Information:

PECOS PAC ID: 5294980009
Enrollment ID: I20140807002191

Medical Identifiers

Medical identifiers for Grant Wade Botker such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295026532	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	9144 (South Dakota)	Secondary
207Q00000X	Family Medicine	57981 (Minnesota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Ortonville Area Health Services	Ortonville, MN	Hospital
Sanford Usd Medical Center	Sioux falls, SD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ortonville Area Health Services	2365448768	11
Ortonville Area Health Services	2365448768	11
Sanford Health Network	6800707100	281

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. Grant Wade Botker allows following entities to bill medicare on his behalf.

Entity Name	Sanford Health Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699869875 PECOS PAC ID: 6800707100 Enrollment ID: O20040715001116

Entity Name	Ortonville Area Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477799765 PECOS PAC ID: 2365448768 Enrollment ID: O20090326000381

Entity Name	Sanford Health Network North
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1386047355 PECOS PAC ID: 8022206663 Enrollment ID: O20180205002429

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. Grant Wade Botker 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
Grant Wade Botker, MD 450 Eastvold Ave, Ortonville, MN 56278-1252 Ph: () -	Grant Wade Botker, MD 450 Eastvold Ave, Ortonville, MN 56278-1133 Ph: (320) 839-6157

Reviews and Comments

Family Medicine Doctors in Ortonville, MN

Sarah Fischer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-3851
Ronald V Beyer, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-3851
Amanda Mcmahon, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-6159
Allan E Ross, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-3851
Ms. Stacy Marie Longnecker, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157
Bryan Scott Delage, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 450 Eastvold Ave, Ortonville, MN 56278 Phone: 320-839-6157 Fax: 320-839-3851

Grant Wade Botker, MD - Medicare Family Practice in Ortonville, MN