Amy D Kotansky, MS, RD, CDCES, LD | |
5230 E Stop 11 Rd Ste 150, Indianapolis, IN 46237-6399 | |
(317) 865-5904 | |
(317) 865-5321 |
Full Name | Amy D Kotansky |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 5230 E Stop 11 Rd Ste 150, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962413682 | NPI | - | NPPES |
37000390A | Other | IN | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 711259 (Indiana) | Secondary |
133V00000X | Dietitian, Registered | 37000390A (Indiana) | Primary |
Provider Name | Franciscan Physician Network |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
Mailing Address | Practice Location Address |
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Amy D Kotansky, MS, RD, CDCES, LD Po Box 781076, Detroit, MI 48278-3629 Ph: (317) 528-4800 | Amy D Kotansky, MS, RD, CDCES, LD 5230 E Stop 11 Rd Ste 150, Indianapolis, IN 46237-6399 Ph: (317) 865-5904 |
Ms. Nicole Michelle Pirau, R.D., C.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 5230 E Stop 11 Rd Ste A, Indianapolis, IN 46237 Phone: 317-851-3697 | |
Tracy Ann Whitaker, MA, RD, CD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7287 | |
Mrs. Lauren Gunn, RD, CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 720 Eskenazi Ave, Indianapolis, IN 46202 Phone: 317-880-5625 | |
James David Middleton, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1481 W 10th St, Indianapolis, IN 46202 Phone: 765-635-8310 | |
April Kleber, RD Dietitian Medicare: Medicare Enrolled Practice Location: 7240 Shadeland Sta Ste 200, Indianapolis, IN 46256 Phone: 317-621-2677 Fax: 317-621-2676 | |
Mrs. Laura Marie Schnur, R.D. Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1001 W 10th St, Indianapolis, IN 46202 Phone: 317-630-7287 | |
Ms. Emily J Dawkins, MS RD CD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1002 W 10th St, Indianapolis, IN 46202 Phone: 317-541-3431 |