Gina Botello, FNP in San Luis, AZ - Medicare Nurse Practitioner

Gina Botello, FNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in San Luis, Arizona. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Yuma Regional Medical Center and her current practice location is 1896 E Babbit Ln, San Luis, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 722-6112.

Gina Botello is licensed to practice in Arizona (license number AP5180) 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 1770917429.

Contact Information

	Gina Botello, FNP
	1896 E Babbit Ln, San Luis, AZ 85349
	(928) 722-6112
	(928) 722-6113

Map and Direction

Provider's Profile

Full Name	Gina Botello
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	1896 E Babbit Ln, San Luis, Arizona
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:

Gina Botello graduated from nursing school in 2019

NPI Data:

NPI Number: 1770917429
Provider Enumeration Date: 08/29/2013
Last Update Date: 12/23/2019

Medicare PECOS Information:

PECOS PAC ID: 7517278773
Enrollment ID: I20150616000021

Medical Identifiers

Medical identifiers for Gina Botello such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770917429	NPI	-	NPPES
Z176616	Other	AZ	MEDICARE PTAN
004882	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP5180 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP5180 (Arizona)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Yuma Regional Medical Center	Yuma, AZ	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Yuma Regional Medical Center	2062314826	284

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. Gina Botello allows following entities to bill medicare on her behalf.

Entity Name	Yuma Regional Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194706655 PECOS PAC ID: 2062314826 Enrollment ID: O20040122000526

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. Gina Botello 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
Gina Botello, FNP 2400 S Avenue A, Yuma, AZ 85364-7170 Ph: (928) 336-1801	Gina Botello, FNP 1896 E Babbit Ln, San Luis, AZ 85349 Ph: (928) 722-6112

Reviews and Comments

Nurse Practitioner Nurses in San Luis, AZ

Taliah Anabell Torres, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514
Ms. Adlene Joseph, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1896 E Babbitt Ln, San Luis, AZ 85349 Phone: 928-722-6112 Fax: 928-722-6113
Larry Anthony Morales, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 Fax: 928-550-5160
Mrs. Leah K Mcnair, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1896 E. Babbit Lane, San Luis, AZ 85349 Phone: 928-627-9222 Fax: 928-627-8315
Diana Lorena Monroy, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514
Hector Israel De La Torre, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1233 N Main St Ste 1a, San Luis, AZ 85336 Phone: 928-550-5514 Fax: 928-722-6113
Richard Nasiru Elelu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7125 East Cesar Chavez Boulevard, San Luis, AZ 85349 Phone: 928-627-8871

Gina Botello, FNP - Medicare Nurse Practitioner in San Luis, AZ