Kenneth Botelho, PA-C - Medicare Physician Assistant in East Providence, RI

Kenneth Botelho, PA-C is a medicare enrolled "Physician Assistant" in East Providence, Rhode Island. He graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Coastal Medical Physicians Inc and his current practice location is 450 Veterans Memorial Pkwy Bldg 9, East Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 435-5533.

Kenneth Botelho is licensed to practice in Rhode Island (license number PA00716) 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 1184977514.

Contact Information

Kenneth Botelho, PA-C
450 Veterans Memorial Pkwy Bldg 9,
East Providence, RI 02914-5300
(401) 435-5533
(401) 435-3586



Provider's Profile

Full NameKenneth Botelho
GenderMale
SpecialityPhysician Assistant
Experience12 Years
Location450 Veterans Memorial Pkwy Bldg 9, East Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kenneth Botelho graduated from nursing school in 2012
  NPI Data:
  • NPI Number: 1184977514
  • Provider Enumeration Date: 10/23/2012
  • Last Update Date: 01/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901030766
  • Enrollment ID: I20131009001819

Medical Identifiers

Medical identifiers for Kenneth Botelho such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184977514NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant PA00716 (Rhode Island)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
The Miriam HospitalProvidence, RIHospital
Rhode Island HospitalProvidence, RIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Coastal Medical Physicians Inc0345658316135

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› Verified 9 days ago

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 Botelho 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 AddressPractice Location Address
Kenneth Botelho, PA-C
450 Veterans Memorial Pkwy Bldg 9,
East Providence, RI 02914-5300

Ph: (401) 435-5533
Kenneth Botelho, PA-C
450 Veterans Memorial Pkwy Bldg 9,
East Providence, RI 02914-5300

Ph: (401) 435-5533

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› Verified 9 days ago


Physician Assistant Nurses in East Providence, RI

Erin L Sharaf, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 450 Veterans Memorial Pkwy, Building 14, East Providence, RI 02914
Phone: 401-435-6625    Fax: 401-435-6694
Olivia Beaupre, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 1 Kettle Point Ave, East Providence, RI 02914
Phone: 401-457-1500    
Toby Fingeroth Weiser, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 73 Highland Ave Unit C, East Providence, RI 02914
Phone: 774-929-9100    Fax: 774-929-6290
Taylor Lynn Reall, PA-C
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 450 Veterans Memorial Pkwy Bldg 6, East Providence, RI 02914
Phone: 401-435-5533    
Kyra Gabow, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Kettle Point Ave, East Providence, RI 02914
Phone: 401-453-9032    
Kasey Elizabeth Cameron, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 1 Kettle Point Ave, East Providence, RI 02914
Phone: 401-457-1515    
Steven A Occhiuti, PA
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 1 Office Parkway, Suite 201, East Providence, RI 02914
Phone: 401-435-3325    Fax: 401-435-3327

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