Carli Ann Kotula, PA is a medicare enrolled "Physician Assistant - Medical" physician in Rochester, New York. Her current practice location is
1555 Long Pond Rd, Department Of Medicine, Rochester, New York. You can reach out to her office (for appointments etc.) via phone at
(585) 723-7870.
Carli Ann Kotula is licensed to practice in New York (license number 016998) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659708873.
Physician's Profile
Full Name | Carli Ann Kotula |
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Gender | Female |
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Speciality | Physician Assistant - Medical |
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Location | 1555 Long Pond Rd, Rochester, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659708873
- Provider Enumeration Date: 10/02/2013
- Last Update Date: 06/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 7012142789
- Enrollment ID: I20131105001139
Medical Identifiers
Medical identifiers for Carli Ann Kotula such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659708873 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086X0206X | Surgery - Surgical Oncology | 16998 (New York) | Secondary |
363AM0700X | Physician Assistant - Medical | 016998 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carli Ann Kotula is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Carli Ann Kotula, PA 1555 Long Pond Rd, Department Of Medicine, Rochester, NY 14626-4122 Ph: (585) 723-7870 | Carli Ann Kotula, PA 1555 Long Pond Rd, Department Of Medicine, Rochester, NY 14626-4122 Ph: (585) 723-7870 |
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