Lee Theodore Bottem, DO is a medicare enrolled "Ophthalmology" physician in Broken Arrow, Oklahoma. His current practice location is
4700 W Urbana St, Broken Arrow, Oklahoma. You can reach out to his office (for appointments etc.) via phone at
(918) 290-2300.
Lee Theodore Bottem is licensed to practice in Oklahoma (license number 4175) 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 1679745418.
Physician's Profile
| Full Name | Lee Theodore Bottem |
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| Gender | Male |
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| Speciality | |
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| Experience | Years |
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| Location | 4700 W Urbana St, Broken Arrow, Oklahoma |
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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:
- Lee Theodore Bottem attended and graduated from in
NPI Data:
- NPI Number: 1679745418
- Provider Enumeration Date: 04/01/2008
- Last Update Date: 09/06/2019
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Lee Theodore Bottem such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1679745418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207W00000X | Ophthalmology | 4175 (Oklahoma) | Primary |
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. Lee Theodore Bottem 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 |
|---|
Lee Theodore Bottem, DO
4700 W Urbana St,
Broken Arrow, OK 74012-5997
Ph: (918) 290-2300 | Lee Theodore Bottem, DO
4700 W Urbana St,
Broken Arrow, OK 74012-5997
Ph: (918) 290-2300 |
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