Melissa G. Botello, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA04207

Practice address

605 N Main St Ste B
Donna, TX 78537-2726

Phone

(956) 464-4407

Fax

(956) 464-4426

NPI assigned

May 24, 2006

Last updated

Oct 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healing Hands Pediatrics, PLLCGroup PAC ID 8325372584, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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

• Healing Hands Pediatrics, PLLC

  • Family Medicine Physician
  • Donna, TX
  • NPI 1699263822
  Medicare reassignment Care Compare group
• Healing Hands Pediatrics, PLLC

  dba Healing Hands Pediatrics PLLC Pharr

  • Family Medicine Physician
  • Pharr, TX
  • NPI 1053185447
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538524800000",
    "number": "1740235803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST STE B",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372726",
            "telephone_number": "956-464-4407",
            "fax_number": "956-464-4426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 N MAIN ST STE B",
            "city": "DONNA",
            "state": "TX",
            "postal_code": "785372726",
            "telephone_number": "956-464-4407",
            "fax_number": "956-464-4426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTELLO",
        "first_name": "MELISSA",
        "middle_name": "G.",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2018-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "PA04207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS STATE LIC.",
            "identifier": "PA04207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Belmares
• Betesda Ilg, LLC (Bethesda Therapy Services)
• Betesda Ilg, LLC (Betesda Therapy Center)
• Bethesda Therapy Services
• Better Living Home Health Care, Inc
• Clark Abilio Boyer, MD
• Francisca Guadalupe Bravo
• Olga Alicia Calderon, LVN
• Daniel Casanova Jr., P.A.
• Julissa Castillo

• Physician Assistant in Donna, TX
• Providers in Donna, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (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.