Jacqueline Botkin, CRNA - Medicare Nurse Anesthetist, Certified Registered in New York, NY

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Jacqueline Botkin, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in New York, New York. Her current practice location is 622 W 168th St, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 305-9878.

Jacqueline Botkin is licensed to practice in New York (license number 630478) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053536938.

Contact Information

Jacqueline Botkin, CRNA
622 W 168th St,
New York, NY 10032-3720
(212) 305-9878
(212) 305-8980

Map and Direction




Provider's Profile

Full NameJacqueline Botkin
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location622 W 168th St, New York, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053536938
  • Provider Enumeration Date: 04/16/2007
  • Last Update Date: 10/14/2010
  Medicare PECOS Information:
  • PECOS PAC ID: 3375731664
  • Enrollment ID: I20120215000145

Medical Identifiers

Medical identifiers for Jacqueline Botkin such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053536938NPI-NPPES
ARNP2017052OtherFLWORKERS COMP
100496OtherFLAVMED
430054530OtherFLRR MEDICARE
13181OtherFLWELLCARE
212334OtherFLAMERIGROUP OF FL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered ARNP2017052 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered 630478 (New York)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. Jacqueline Botkin allows following entities to bill medicare on her behalf.
Entity NameSheridan Healthcorp Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629781711
PECOS PAC ID: 3173429693
Enrollment ID: O20031208000355

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. Jacqueline Botkin 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
Jacqueline Botkin, CRNA
622 W 168th St,
New York, NY 10032-3720

Ph: (212) 305-9878		Jacqueline Botkin, CRNA
622 W 168th St,
New York, NY 10032-3720

Ph: (212) 305-9878

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in New York, NY

Steven Winnett,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 525 E 68th St, New York, NY 10065
Phone: 212-746-2962    
Egbert Clayton, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 1275 York Ave, New York, NY 10021
Phone: 646-227-3813    
Nora Zmuidins, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 1275 York Ave, New York, NY 10021
Phone: 646-227-3813    
Ms. Lynn Ann Reilly, C.R.N.A.
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 525 E 68th St, New York, NY 10065
Phone: 212-746-2959    
Lauren Peiffer Selame,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 1275 York Ave, New York, NY 10065
Phone: 212-639-2000    
Sung Min Park,
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 550 1st Ave, New York, NY 10016
Phone: 212-263-5072    
Amanda M L Reuter,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 550 1st Ave, New York, NY 10016
Phone: 212-263-5072    

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.