MS. BIANCA BOTTIAUX PA
NPI 1679639561
Physician Assistant in Carbondale, IL

Q: What is Bianca Bottiaux's NPI number?

The NPI number for Bianca Bottiaux is 1679639561. It was assigned to this individual provider in the NPPES registry on December 28, 2006.

Q: What is Bianca Bottiaux's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Bianca Bottiaux was last updated on September 2, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since December 28, 2006PECOS Enrolled

2601 W MAIN ST, CARBONDALE, IL 62901(618) 549-5361(618) 549-5128 Get Directions Write a Review

NPPES record last updated: September 2, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Ms. Bianca Bottiaux Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. BIANCA BOTTIAUX PA (NPI 1679639561) is an individual physician assistant in Carbondale, Illinois, licensed in Illinois (085-000730) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679639561

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMS. BIANCA BOTTIAUXCredential: PA

Location Address2601 W MAIN STCarbondale, IL 62901-1031

Mailing AddressPo Box 1105Indianapolis, IN 46206-1105 · (618) 549-5361 · Fax (618) 549-5128

Phone(618) 549-5361

Fax(618) 549-5128

Sole ProprietorNo

Enumeration DateDecember 28, 2006

Last NPPES UpdateSeptember 2, 2011

✔ NPI 1679639561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in IL · 085-000730

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2601 W MAIN ST, Carbondale, IL 62901

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Other Identifiers 9

Other7210895IL · Aetna

Other037526IL · Hamp Ins. #

Medicare UPINS45438IL

Medicare OSCAR/certification214881IL

Other444347IL · Healthlink

Other3932056IL · Bcbs Of Il

Medicare ID-Type Unspecified207245IL · Medicare Group #

Medicare OSCAR/certification143821IL

Medicare PINK45739IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Bianca Bottiaux Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62901 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MELISSA A MARTINEZ MATEO M.D.

Internal Medicine (Gastroenterology)