Sara Ashley Botterill, MD | |
1901 Connecticut Ave S, Sartell, MN 56377-2554 | |
(320) 259-4100 | |
(320) 257-5523 |
Full Name | Sara Ashley Botterill |
---|---|
Gender | Female |
Speciality | Physical Medicine And Rehabilitation |
Experience | 21 Years |
Location | 1901 Connecticut Ave S, Sartell, Minnesota |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881809549 | NPI | - | NPPES |
1881809549 | Medicaid | MN | |
1881809549 | Medicaid | VA | |
P00686666 | Other | VA | MEDICARE RAILROAD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208100000X | Physical Medicine & Rehabilitation | 0101244146 (Virginia) | Secondary |
208100000X | Physical Medicine & Rehabilitation | 65017 (Minnesota) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Cloud Hospital | Saint cloud, MN | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
St Cloud Orthopedic Associates Ltd | 0143113951 | 52 |
Novacare Outpatient Rehabilitation East Inc | 3678480290 | 666 |
Entity Name | St Cloud Orthopedic Associates Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083638761 PECOS PAC ID: 0143113951 Enrollment ID: O20040205000502 |
Mailing Address | Practice Location Address |
---|---|
Sara Ashley Botterill, MD 1901 Connecticut Ave S, Sartell, MN 56377-2554 Ph: (320) 259-4100 | Sara Ashley Botterill, MD 1901 Connecticut Ave S, Sartell, MN 56377-2554 Ph: (320) 259-4100 |
Mr. Mark J Thibault, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1901 Connecticut Ave S, Sartell, MN 56377 Phone: 320-259-4100 Fax: 320-257-5523 | |
Ramon P Sotto, MD Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 166 19th St S, Suite 101, Sartell, MN 56377 Phone: 320-230-7788 Fax: 320-230-7789 |