Khristine C Botezan, MD is a medicare enrolled "Surgery" physician in Sandusky, Michigan. She went to Yale University School Of Medicine and graduated in 1988 and has 36 years of diverse experience with area of expertise as General Surgery. She is a member of the group practice Munson Healthcare Grayling and her current practice location is
150 N Delaware St, Sandusky, Michigan. You can reach out to her office (for appointments etc.) via phone at
(810) 648-9670.
Khristine C Botezan is licensed to practice in Michigan (license number 4301084929) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1912954652.
Physician's Profile
Full Name | Khristine C Botezan |
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Gender | Female |
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Speciality | General Surgery |
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Experience | 36 Years |
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Location | 150 N Delaware St, Sandusky, Michigan |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Khristine C Botezan attended and graduated from Yale University School Of Medicine in 1988
NPI Data:
- NPI Number: 1912954652
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 10/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 7810949773
- Enrollment ID: I20050218000492
Medical Identifiers
Medical identifiers for Khristine C Botezan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1912954652 | NPI | - | NPPES |
4700615 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | 4301084929 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Munson Healthcare Grayling | 2062736655 | 51 |
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. Khristine C Botezan allows following entities to bill medicare on her behalf.
Entity Name | Munson Healthcare Otsego Memorial Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164628426 PECOS PAC ID: 8325942535 Enrollment ID: O20040305000525 |
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Entity Name | Portage Physician Practices Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
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Entity Name | Munson Healthcare Grayling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1710383351 PECOS PAC ID: 2062736655 Enrollment ID: O20150326000110 |
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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. Khristine C Botezan 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 |
Khristine C Botezan, MD Po Box 191, Sandusky, MI 48471-0191 Ph: (810) 648-9670 | Khristine C Botezan, MD 150 N Delaware St, Sandusky, MI 48471-1009 Ph: (810) 648-9670 |
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