Ronald J Botelho, MD | |
1221 Farmers Ln, Suite 500, Santa Rosa, CA 95405-6712 | |
(707) 569-3230 | |
(707) 523-0119 |
Full Name | Ronald J Botelho |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 42 Years |
Location | 1221 Farmers Ln, Santa Rosa, California |
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 |
---|---|---|---|
1235199373 | NPI | - | NPPES |
100501809 | Medicaid | NV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 10484 (Nevada) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | G53308 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health Clearlake | Clearlake, CA | Hospital |
Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
Sutter Lakeside Hospital | Lakeport, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Lake County Tribal Health Consortium Inc | 8729975545 | 26 |
Entity Name | Anesthesia & Analgesia Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659320984 PECOS PAC ID: 1153316112 Enrollment ID: O20040419000685 |
Entity Name | Lyons Huber Management |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891370854 PECOS PAC ID: 4789093741 Enrollment ID: O20210504002949 |
Mailing Address | Practice Location Address |
---|---|
Ronald J Botelho, MD Po Box 14578, Santa Rosa, CA 95402-6578 Ph: (707) 569-3230 | Ronald J Botelho, MD 1221 Farmers Ln, Suite 500, Santa Rosa, CA 95405-6712 Ph: (707) 569-3230 |
Mr. Michael Long Tran, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 4704 Hoen Ave, Santa Rosa, CA 95405 Phone: 707-546-7979 Fax: 707-546-7667 | |
Kate Esther Black, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-3210 | |
Dr. Christopher Daniel Press, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 837 5th St, Santa Rosa, CA 95404 Phone: 707-522-1800 | |
Robert John Wood, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-3210 | |
Darin Dee Brunson, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-546-3210 | |
Dr. Michael Ishu Yang, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 392 Tesconi Ct, Santa Rosa, CA 95401 Phone: 707-623-9803 Fax: 707-843-3257 | |
James H. Pak, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3325 Chanate Rd, Santa Rosa, CA 95404 Phone: 707-576-4000 |