| Kenneth J Bottesi, MD | |
|
45634 Schoenherr Rd, Shelby Township, MI 48315-6024 | |
| (586) 566-3000 | |
| (586) 566-3070 |
| Full Name | Kenneth J Bottesi |
|---|---|
| Gender | Male |
| Speciality | Neurology |
| Experience | 33 Years |
| Location | 45634 Schoenherr Rd, Shelby Township, Michigan |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164419008 | NPI | - | NPPES |
| 4910630 | Medicaid | MI | |
| 4592447 | Medicaid | MI | |
| 4910926 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 4301059564 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Residential Home Health | Troy, MI | Home health agency |
| Ascension Macomb Oakland Hosp-warren Campus | Warren, MI | Hospital |
| Ascension St John Hospital | Detroit, MI | Hospital |
| Henry Ford Macomb Hospital | Clinton township, MI | Hospital |
| Beaumont Hospital, Troy | Troy, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ascension Medical Group Michigan | 0648180406 | 186 |
| Entity Name | Ascension Medical Group Michigan |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942317631 PECOS PAC ID: 0648180406 Enrollment ID: O20031113000362 |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth J Bottesi, MD 45634 Schoenherr Rd, Shelby Township, MI 48315-6024 Ph: (586) 566-3000 | Kenneth J Bottesi, MD 45634 Schoenherr Rd, Shelby Township, MI 48315-6024 Ph: (586) 566-3000 |
Dr. Veronica Kemerko Sesi, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 50505 Schoenherr Rd Ste 290, Shelby Township, MI 48315 Phone: 586-314-0080 Fax: 586-731-6257 |