Julijana Botic, M.D.
Individual provider Active NPI Internal Medicine Physician · Marshall, MN
NPI 1013277409 · NPPES record last updated Jul 9, 2014
Key facts
- NPI
- 1013277409
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 57697 (MN)
- Practice address
- 300 S Bruce St
Marshall, MN 56258-1934 - Phone
- (507) 537-9007
- Fax
- (507) 537-2720
- NPI assigned
- May 21, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- South Sound Inpatient Physicians PLLC
Practice addresses (Care Compare)
16251 Sylvester Rd SW
Burien, WA 98166-3017
Phone (206) 244-9970
17700 SE 272ND St
Covington, WA 98042-4951
Phone (253) 372-6500
1901 S Union Ave
Tacoma, WA 98405-1702
Phone (253) 459-6633
202 N Division St
Auburn, WA 98001-4939
Phone (253) 833-7711
407 14TH Ave SE
Puyallup, WA 98372-3770
Phone (253) 697-4000
Hospital & facility affiliations
- Multicare Covington Medical Center
- Multicare Good Samaritan Hospital
- Multicare Auburn Medical Center
- Tacoma General Allenmore Hospital
- Valley Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230719002145 | WA | Practitioner - Internal Medicine | 1658596267 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current |
Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current |
Accepting new patients |
| South Sound Inpatient Physicians PLLC | Internal Medicine | Current | Accepting new patients |
| Multicare Health System | Past | Accepting new patients | |
| Multicare Health System | Past | Accepting new patients |
Locations
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970
407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 57697 | MN | Yes |
Addresses
Primary practice location
300 S Bruce St
Marshall, MN 56258-1934
Mailing address
300 S Bruce St
Marshall, MN 56258-1934
Phone (507) 537-9007
Other providers in Marshall, MN
- Sonia Jo Bly
- Theresa Rose Bly
- Brian David Boersma
- Riley May Boese
- Kylie Linden Bossuyt
- Jacob Bottelberghe
- Janet Bottelberghe
- Victoria Ann Botten
- Danielle Brandt
- Robert Emerson Braun
All providers in Marshall, MN · Internal Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.