Percy Botchway, ATC is a
Emergency Medicine - Sports Medicine physician based in Shoreview, Minnesota. Percy Botchway is licensed to practice in Minnesota (license number 2681) and his current practice location is 956 Carmel Ct, Shoreview, Minnesota. He can be reached at his office (for appointments etc.) via phone at
(651) 890-9103.
NPI number for Percy Botchway is 1942856521 and his current mailing address is 956 Carmel Ct, Shoreview, Minnesota. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1942856521.
Physician's Profile
| Full Name | Percy Botchway |
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| Gender | Male |
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| Speciality | Emergency Medicine - Sports Medicine |
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| Location | 956 Carmel Ct, Shoreview, Minnesota |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1942856521
- Provider Enumeration Date: 08/10/2019
- Last Update Date: 08/10/2019
Medical Identifiers
Medical identifiers for Percy Botchway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1942856521 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207PS0010X | Emergency Medicine - Sports Medicine | 2681 (Minnesota) | 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. Percy Botchway is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Percy Botchway, ATC
956 Carmel Ct,
Shoreview, MN 55126-5882
Ph: (651) 890-9103 | Percy Botchway, ATC
956 Carmel Ct,
Shoreview, MN 55126-5882
Ph: (651) 890-9103 |
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