Charles Kotulski, MD - Medicare Family Medicine in Tacoma, WA

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Charles Kotulski, MD is a medicare enrolled "Family Medicine" physician in Tacoma, Washington. His current practice location is 9040 Jackson Ave, Tacoma, Washington. You can reach out to his office (for appointments etc.) via phone at (253) 968-3885.

Charles Kotulski is licensed to practice in Washington (license number ML60863184) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902398407.

Contact Information

Charles Kotulski, MD
9040 Jackson Ave,
Tacoma, WA 98431-0001
(253) 968-3885
Not Available

Map and Direction




Physician's Profile

Full NameCharles Kotulski
GenderMale
SpecialityFamily Medicine
Location9040 Jackson Ave, Tacoma, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902398407
  • Provider Enumeration Date: 05/31/2018
  • Last Update Date: 05/14/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 0547517617
  • Enrollment ID: I20221003002336

Medical Identifiers

Medical identifiers for Charles Kotulski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902398407NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine ML60863184 (Washington)Primary
207P00000XEmergency Medicine 75407-20 (Wisconsin)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Charles Kotulski allows following entities to bill medicare on his behalf.
Entity NameMarshfield Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952347981
PECOS PAC ID: 2264345206
Enrollment ID: O20031106000590
Entity NameBeaver Dam Community Hospitals Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972188555
PECOS PAC ID: 2567370539
Enrollment ID: O20040210000666
Entity NameMemorial Hospital Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20040519001426
Entity NameFlambeau Hospital, Inc.
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1700963048
PECOS PAC ID: 9032029871
Enrollment ID: O20070828000478
Entity NameMemorial Hospital Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1346239373
PECOS PAC ID: 2365433224
Enrollment ID: O20110526000807
Entity NameMchs Hospitals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093221434
PECOS PAC ID: 5698071173
Enrollment ID: O20180208000096
Entity NameLakeview Medical Center Inc Of Rice Lake
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093201832
PECOS PAC ID: 6103737820
Enrollment ID: O20180817001484
Entity NameMchs Hospitals Inc
Entity TypePart A Provider - Critical Access Hospital
Entity IdentifiersNPI Number: 1952890873
PECOS PAC ID: 5698071173
Enrollment ID: O20180904002962
Entity NameFlambeau Hospital, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194317966
PECOS PAC ID: 9032029871
Enrollment ID: O20210409000059

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. Charles Kotulski 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 AddressPractice Location Address
Charles Kotulski, MD
84042 310th St,
Madelia, MN 56062-5417

Ph: (507) 380-4069		Charles Kotulski, MD
9040 Jackson Ave,
Tacoma, WA 98431-0001

Ph: (253) 968-3885

Reviews and Comments


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Practice Location: 9040 Jackson Avenue Department Of Family Medicine, Tacoma, WA 98431
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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