Raquel Marques Bertolotti, PA-C – Physician Assistant

Key facts

NPI: 1710692074
Entity type: Individual (NPI type 1)
Primary specialty: Physician Assistant 363A00000X
Practice address: 1598 S County TRL Ste 202
East Greenwich, RI 02818-1762
Phone: (401) 886-5663
Fax: (401) 884-9043
NPI assigned: Jan 20, 2023
Sex: Female
Sole proprietor: No

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Advanced Dermatology of Rhode Island, PC Dermatology Physician · East Greenwich, RI · NPI 1386185759

Medicare reassignment Care Compare group RI
Rhode Island Dermatology & Cosmetic Center LLC Specialist · Lincoln, RI · NPI 1972676021

Medicare reassignment RI
Rhode Island Dermatology Obs Ambulatory Surgical Clinic/Center · Lincoln, RI · NPI 1235202201

NPD (past)

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

The Miriam Hospital General Acute Care Hospital · Providence, RI · NPI 1487649430

Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty: Physician Assistant
Education: Other, 2022
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Advanced Dermatology of Rhode Island PC (3 clinicians)

Practice addresses (Care Compare)

1351 S County TRL
Suite 302
East Greenwich, RI 02818-5083
Phone (401) 886-5663

1598 S County TRL
Suite 202
East Greenwich, RI 02818-1762
Phone (407) 875-2080

Hospital & facility affiliations

The Miriam Hospital Hospital · Providence, RI · CCN 410012

Merit-based Incentive Payment System (MIPS)

Final score: 94.18 of 100 (group)
Quality: 88.36
Improvement activities: 40

Medicare participation

Medicare fee-for-service enrollment: Enrolled in RI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20230309002706	RI	Practitioner - Physician Assistant	3779956883	Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Physician Assistant

Practice roles

Organization	Specialty	Status	New patients
Rhode Island Dermatology Obs		Past since Jan 1, 2023	Accepting new patients

Interoperability endpoints

Direct secure messaging: raquel.bertolotti@adcs1.emadirect.md

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physician Assistant	363A00000X			Yes

Addresses

Primary practice location

1598 S County TRL Ste 202
East Greenwich, RI 02818-1762

Mailing address

1598 S County TRL Ste 202
East Greenwich, RI 02818-1762
Phone (401) 886-5663

Other providers in East Greenwich, RI

Berghelli Internal Medicine, LLC
Anthony Berghelli
Boris O Bergus, MD
Jessica Rachel Berman
Eric P. Berthiaume, M.D.
Sara Elizabeth Bertuccio, PA-C
Bethel Behavioral Associates of South County
David Pedro Bica, DO
Natasha Bica, MD
Kristen Peters Bierwirth, PH.D.

All providers in East Greenwich, RI · Physician Assistant in Rhode Island

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 4, 2024. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.