Dr Mary Teresa Botelho, OD - Medicare Optometrist in New York, NY

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Dr Mary Teresa Botelho, OD is a medicare enrolled "Optometrist" provider in New York, New York. She went to State University Of New York - State College Optometry and graduated in 2017 and has 7 years of diverse experience with area of expertise as Optometry. She is a member of the group practice New York University and her current practice location is 462 1st Ave, New York, New York. You can reach out to her office (for appointments etc.) via phone at (212) 562-1394.

Dr Mary Teresa Botelho is licensed to practice in New York (license number TUV008583) 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 1861913774.

Contact Information

Dr Mary Teresa Botelho, OD
462 1st Ave,
New York, NY 10016-9196
(212) 562-1394
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Mary Teresa Botelho
GenderFemale
SpecialityOptometry
Experience7 Years
Location462 1st Ave, New York, New York
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:
  • Dr Mary Teresa Botelho attended and graduated from State University Of New York - State College Optometry in 2017
  NPI Data:
  • NPI Number: 1861913774
  • Provider Enumeration Date: 06/30/2017
  • Last Update Date: 08/09/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 0042584237
  • Enrollment ID: I20170927001642

Medical Identifiers

Medical identifiers for Dr Mary Teresa Botelho such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1861913774NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist TUV008583 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Bellevue Hospital CenterNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York University13552324224495

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. Dr Mary Teresa Botelho allows following entities to bill medicare on her behalf.
Provider NameBe Well Primary Health Care Center Llc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1083623409
PECOS PAC ID: 2062305030
Enrollment ID: O20040204000235
Provider NameState Of New York Comptrollers Office
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1407829856
PECOS PAC ID: 0840101770
Enrollment ID: O20040514000118
Provider NameNyu Langone Hospitals
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1790975944
PECOS PAC ID: 4981515699
Enrollment ID: O20050721000058
Provider NameNew York University
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1285826438
PECOS PAC ID: 1355232422
Enrollment ID: O20090822000026

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. Dr Mary Teresa Botelho 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
Dr Mary Teresa Botelho, OD
91 Cannon Blvd,
Staten Island, NY 10306-2811

Ph: (718) 873-4761		Dr Mary Teresa Botelho, OD
462 1st Ave,
New York, NY 10016-9196

Ph: (212) 562-1394

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.