Brett Robert Kockentiet, MD | |
650 Shawan Falls Dr, Dublin, OH 43017-2100 | |
(614) 764-1711 | |
(614) 889-2652 |
Full Name | Brett Robert Kockentiet |
---|---|
Gender | Male |
Speciality | Micrographic Dermatologic Surgery (mds) |
Experience | 23 Years |
Location | 650 Shawan Falls Dr, Dublin, Ohio |
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 |
---|---|---|---|
1306056171 | NPI | - | NPPES |
1351 | Other | OH | RR MEDICARE GRP ID |
00744474 | Other | OH | RR MEDICARE PIN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207N00000X | Dermatology | 35.093291 (Ohio) | Secondary |
207ND0101X | Dermatology - Mohs-micrographic Surgery | 35.093291 (Ohio) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Riverside Methodist Hospital | Columbus, OH | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Affiliated Dermatology And Cosmetic Surgery Center, Inc. | 7012993777 | 7 |
Entity Name | Affiliated Dermatology & Cosmetic Surgery Center, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932184090 PECOS PAC ID: 7012993777 Enrollment ID: O20040624001734 |
Mailing Address | Practice Location Address |
---|---|
Brett Robert Kockentiet, MD 650 Shawan Falls Dr, Dublin, OH 43017-2100 Ph: (614) 764-1711 | Brett Robert Kockentiet, MD 650 Shawan Falls Dr, Dublin, OH 43017-2100 Ph: (614) 764-1711 |
Ms. Yang Shen, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5720 Blazer Pkwy, Dublin, OH 43017 Phone: 614-761-1151 Fax: 614-761-1313 | |
Dr. Sharon Longshore Thornton, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6670 Perimeter Dr, Suite 260, Dublin, OH 43016 Phone: 614-389-2200 Fax: 614-389-3220 | |
Dr. Dwight A Scarborough, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 650 Shawan Falls Dr, Dublin, OH 43017 Phone: 614-764-1711 Fax: 614-889-2652 | |
Dr. Patricia G. Malerich, M.D. Dermatology Medicare: Accepting Medicare Assignments Practice Location: 6700 University Blvd, Dublin, OH 43016 Phone: 614-293-1707 Fax: 614-293-1716 | |
Dr. Frank Wallace Yoder, MD Dermatology Medicare: Not Enrolled in Medicare Practice Location: 7450 Hospital Dr, Suite 370, Dublin, OH 43016 Phone: 614-760-1401 Fax: 614-652-3048 | |
Julio C Cruz, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 5720 Blazer Parkway, Dublin, OH 43017 Phone: 614-761-1151 Fax: 614-761-4893 |