Jorge M Botero, MD | |
360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843-1740 | |
(978) 688-6182 | |
(978) 689-0731 |
Full Name | Jorge M Botero |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Experience | 42 Years |
Location | 360 Merrimack St, Lawrence, Massachusetts |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1699758979 | NPI | - | NPPES |
3080859 | Medicaid | NH | |
110052237A | Medicaid | MA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 76765 (Massachusetts) | Secondary |
207W00000X | Ophthalmology | 76765 (Massachusetts) | Primary |
207W00000X | Ophthalmology | 9469 (New Hampshire) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Lawrence General Hospital | Lawrence, MA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Tallman Eye Associates Pc | 3577501063 | 16 |
Tallman Eye Whittier | 3678982352 | 8 |
Tallman Eye Bidco | 7315236866 | 9 |
Tallman Eye Associates Pc | 3577501063 | 16 |
Entity Name | Tallman Eye Associates Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194833467 PECOS PAC ID: 3577501063 Enrollment ID: O20050425000836 |
Entity Name | Lawrence General Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750381281 PECOS PAC ID: 5092725200 Enrollment ID: O20060503000236 |
Entity Name | Tallman Eye Bidco |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033419072 PECOS PAC ID: 7315236866 Enrollment ID: O20160523001756 |
Entity Name | Tallman Eye Whittier |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639768229 PECOS PAC ID: 3678982352 Enrollment ID: O20210510001869 |
Mailing Address | Practice Location Address |
---|---|
Jorge M Botero, MD 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843-1740 Ph: (978) 688-6182 | Jorge M Botero, MD 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843-1740 Ph: (978) 688-6182 |
Dr. Monika Singh, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6182 Fax: 978-689-0731 | |
Cynthia L Deangelis, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6182 Fax: 978-689-0731 | |
Thomas P Pappavaselio, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6185 Fax: 978-689-0731 | |
Robert O. Kwon, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6182 Fax: 978-689-0731 | |
Dr. Davinder S Nagra, M.D. Ophthalmology Medicare: Not Enrolled in Medicare Practice Location: 280 Haverhill St, Lawrence, MA 01840 Phone: 978-685-5366 Fax: 978-685-4867 | |
Carter B Tallman, M.D. Ophthalmology Medicare: Medicare Enrolled Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6182 Fax: 978-689-0731 | |
Samuel D Allen, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 360 Merrimack St, Bldg 9, Entrance I, Lawrence, MA 01843 Phone: 978-688-6182 Fax: 978-689-0731 |