Individual ProviderGehan BotrusInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address4800 Alberta Ave, El Paso, TX 79905-2709(915) 215-8000(423) 302-6565PECOS EnrollmentBased on the most recent information from CMS, provider Gehan Botrus is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1275910911Provider TypeIndividualFull NameBotrus, GehanGenderFemaleSole ProprietorNoEnumeration Date5/1/2015Last Updated6/6/2024Contact InformationPractice LocationPractice Address4800 Alberta Ave, El Paso, TX 79905-2709Phone(915) 215-8000FaxUnlisted FaxMailing LocationMailing Address1021 W Oakland Ave Ste 310, Johnson City, TN 37604-2192Phone(423) 302-6565FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseBP10054490TexasCode207RH0003XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense92571GeorgiaCode207RX0202XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101280191VirginiaCode207RX0202XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense68793Tennessee