Tina M L Botsford, MSN, FNP-BC - Medicare Nurse Practitioner in Mount Pleasant, WI

Tina M L Botsford, MSN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Mount Pleasant, Wisconsin. 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 Wheaton Franciscan Medical Group Inc and her current practice location is 3811 Spring St, Mount Pleasant, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 498-1773.

Tina M L Botsford is licensed to practice in Wisconsin (license number 969333) 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 1255974358.

Contact Information

Tina M L Botsford, MSN, FNP-BC
3811 Spring St,
Mount Pleasant, WI 53405-1667
(262) 498-1773
Not Available

Map and Direction




Provider's Profile

Full NameTina M L Botsford
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location3811 Spring St, Mount Pleasant, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Tina M L Botsford graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1255974358
  • Provider Enumeration Date: 10/21/2019
  • Last Update Date: 10/21/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 6800228982
  • Enrollment ID: I20191111001533

Medical Identifiers

Medical identifiers for Tina M L Botsford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255974358NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 969333 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Ascension All Saints HospitalRacine, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Wheaton Franciscan Medical Group Inc8628980943565

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. Tina M L Botsford allows following entities to bill medicare on her behalf.
Entity NameAscension Medical Group-southeast Wisconsin Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609881077
PECOS PAC ID: 8628980943
Enrollment ID: O20031104000421

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. Tina M L Botsford 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
Tina M L Botsford, MSN, FNP-BC
1682 Echo Ln,
Racine, WI 53406-4802

Ph: (262) 498-1773
Tina M L Botsford, MSN, FNP-BC
3811 Spring St,
Mount Pleasant, WI 53405-1667

Ph: (262) 498-1773

Reviews and Comments


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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.