Kenneth J Bottesi, MD is a medicare enrolled "Psychiatry & Neurology - Neurology" physician in Shelby Township, Michigan. He went to Wayne State University School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Neurology. He is a member of the group practice Ascension Medical Group Michigan and his current practice location is
45634 Schoenherr Rd, Shelby Township, Michigan. You can reach out to his office (for appointments etc.) via phone at
(586) 566-3000.
Kenneth J Bottesi is licensed to practice in Michigan (license number 4301059564) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1164419008.
Physician's Profile
| Full Name | Kenneth J Bottesi |
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| Gender | Male |
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| Speciality | Neurology |
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| Experience | 32 Years |
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| Location | 45634 Schoenherr Rd, Shelby Township, Michigan |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenneth J Bottesi attended and graduated from Wayne State University School Of Medicine in 1992
NPI Data:
- NPI Number: 1164419008
- Provider Enumeration Date: 10/05/2005
- Last Update Date: 03/09/2009
Medicare PECOS Information:
- PECOS PAC ID: 0840226254
- Enrollment ID: I20050715000937
Medical Identifiers
Medical identifiers for Kenneth J Bottesi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164419008 | NPI | - | NPPES |
| 4910630 | Medicaid | MI | |
| 4592447 | Medicaid | MI | |
| 4910926 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084N0400X | Psychiatry & Neurology - Neurology | 4301059564 (Michigan) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Ascension Medical Group Michigan | 0648180406 | 105 |
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. Kenneth J Bottesi allows following entities to bill medicare on his behalf.
| Entity Name | Ascension Medical Group Michigan |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1942317631
PECOS PAC ID: 0648180406
Enrollment ID: O20031113000362 |
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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. Kenneth J Bottesi 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 Address | Practice Location Address |
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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 |
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