Brooke Bottila, PT in Hermantown, MN - Medicare Occupational Therapist Provider

Brooke Bottila, PT is a medicare enrolled "Occupational Therapist" provider in Hermantown, Minnesota. Her current practice location is 4195 Westberg Rd, Hermantown, Minnesota. You can reach out to her office (for appointments etc.) via phone at (218) 216-9921.

Brooke Bottila is licensed to practice in * (Not Available) (license number ) 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 1649031923.

Contact Information

	Brooke Bottila, PT
	4195 Westberg Rd, Hermantown, MN 55811-2962
	(218) 216-9921
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Brooke Bottila
Gender	Female
Speciality	Occupational Therapist
Location	4195 Westberg Rd, Hermantown, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649031923
Provider Enumeration Date: 01/23/2024
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 6800230236
Enrollment ID: I20240214000153

Medical Identifiers

Medical identifiers for Brooke Bottila such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649031923	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	(* (Not Available))	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. Brooke Bottila allows following entities to bill medicare on her behalf.

Provider Name	Caring Edge Op Llc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1700399359 PECOS PAC ID: 6406114131 Enrollment ID: O20180802001325

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. Brooke Bottila 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
Brooke Bottila, PT 540 Falcon Crest Dr, Spearfish, SD 57783-3252 Ph: (605) 491-2832	Brooke Bottila, PT 4195 Westberg Rd, Hermantown, MN 55811-2962 Ph: (218) 216-9921

Reviews and Comments

Occupational Therapist in Hermantown, MN

Casey Headlee, OT Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4195 Westberg Rd, Hermantown, MN 55811 Phone: 218-216-9921
Brittany Christine Malvick, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4195 Westberg Rd, Hermantown, MN 55811 Phone: 218-491-3219
Matthew Mcintyre, MOT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4195 Westberg Rd, Hermantown, MN 55811 Phone: 218-216-9921
Cody Dunkley, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5155 Miller Trunk Hwy, Hermantown, MN 55811 Phone: 218-729-7150

Brooke Bottila, PT - Medicare Occupational Therapist in Hermantown, MN