Mrs Jacquelyn Anne Botticelli, NP in Buffalo, NY

Mrs Jacquelyn Anne Botticelli, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Buffalo, New York. Her current practice location is 60 Innsbruck Dr, Buffalo, New York. You can reach out to her office (for appointments etc.) via phone at (716) 668-7051.

Mrs Jacquelyn Anne Botticelli is licensed to practice in New York (license number 30-304311) 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 1356349740.

Contact Information

	Mrs Jacquelyn Anne Botticelli, NP
	60 Innsbruck Dr, Buffalo, NY 14227-2735
	(716) 668-7051
	(716) 669-7069

Map and Direction

Provider's Profile

Full Name	Mrs Jacquelyn Anne Botticelli
Gender	Female
Speciality	Nurse Practitioner - Adult Health
Location	60 Innsbruck Dr, Buffalo, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356349740
Provider Enumeration Date: 07/11/2005
Last Update Date: 03/11/2009

Medicare PECOS Information:

PECOS PAC ID: 9931153525
Enrollment ID: I20090128000517

Medical Identifiers

Medical identifiers for Mrs Jacquelyn Anne Botticelli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356349740	NPI	-	NPPES
9515444	Other	NY	INDEPENDENT HEALTH
03061112	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	30-304311 (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. Mrs Jacquelyn Anne Botticelli allows following entities to bill medicare on her behalf.

Entity Name	Family Choice Of New York Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720312754 PECOS PAC ID: 1355615477 Enrollment ID: O20170927003380

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. Mrs Jacquelyn Anne Botticelli 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
Mrs Jacquelyn Anne Botticelli, NP 3332 Walden Ave., Suite 110, Depew, NY 14043 Ph: (716) 668-7051	Mrs Jacquelyn Anne Botticelli, NP 60 Innsbruck Dr, Buffalo, NY 14227-2735 Ph: (716) 668-7051

Reviews and Comments

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Mrs Jacquelyn Anne Botticelli, NP - Medicare Nurse Practitioner in Buffalo, NY