Samuel Anthony Botta, MD - Medicare Plastic Surgery in Coraopolis, PA

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Samuel Anthony Botta, MD is a medicare enrolled "Plastic Surgery" physician in Coraopolis, Pennsylvania. His current practice location is 1187 Thorn Run Road, One Thorn Run Center, Coraopolis, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (412) 262-1005.

Samuel Anthony Botta is licensed to practice in Pennsylvania (license number MD033613E) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1780741157.

Contact Information

Samuel Anthony Botta, MD
1187 Thorn Run Road, One Thorn Run Center,
Coraopolis, PA 15108
(412) 262-1005
(412) 262-1006

Map and Direction




Physician's Profile

Full NameSamuel Anthony Botta
GenderMale
SpecialityPlastic Surgery
Location1187 Thorn Run Road, Coraopolis, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1780741157
  • Provider Enumeration Date: 01/03/2007
  • Last Update Date: 07/08/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 9638485501
  • Enrollment ID: I20150909000551

Medical Identifiers

Medical identifiers for Samuel Anthony Botta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780741157NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208200000XPlastic Surgery MD033613E (Pennsylvania)Primary

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. Samuel Anthony Botta allows following entities to bill medicare on his behalf.
Entity NameLegacy Medical Centers Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013164623
PECOS PAC ID: 0749461481
Enrollment ID: O20110301000009

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. Samuel Anthony Botta 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 AddressPractice Location Address
Samuel Anthony Botta, MD
66 Forest Glen Dr,
Imperial, PA 15126-9673

Ph: (724) 695-7121		Samuel Anthony Botta, MD
1187 Thorn Run Road, One Thorn Run Center,
Coraopolis, PA 15108

Ph: (412) 262-1005

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Plastic Surgery Doctors in Coraopolis, PA


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.