Dennis J Kotlove, MD | |
214 King St, Ogdensburg, NY 13669-1142 | |
(315) 713-6220 | |
(315) 393-3873 |
Full Name | Dennis J Kotlove |
---|---|
Gender | Male |
Speciality | Radiation Oncology |
Experience | 38 Years |
Location | 214 King St, Ogdensburg, New York |
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 |
---|---|---|---|
1790764249 | NPI | - | NPPES |
01194898 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2085R0001X | Radiology - Radiation Oncology | 172093 (New York) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Guthrie Cortland Regional Medical Center | Cortland, NY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Guthrie Medical Group Pc | 6002728656 | 637 |
Upstate University Radiation Oncology Inc | 7719012889 | 14 |
Entity Name | Guthrie Medical Group Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134178635 PECOS PAC ID: 6002728656 Enrollment ID: O20031103000220 |
Entity Name | Mvhs Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770690737 PECOS PAC ID: 2769380252 Enrollment ID: O20031222000433 |
Entity Name | Upstate University Radiation Oncology Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922337195 PECOS PAC ID: 7719012889 Enrollment ID: O20100315000243 |
Mailing Address | Practice Location Address |
---|---|
Dennis J Kotlove, MD 5 Lyon Pl, Ogdensburg, NY 13669-2586 Ph: (315) 713-6220 | Dennis J Kotlove, MD 214 King St, Ogdensburg, NY 13669-1142 Ph: (315) 713-6220 |
John W Gebert, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 5 Lyon Place, Richard E Winter Cancer Treatment Center, Ogdensburg, NY 13669 Phone: 315-393-3600 Fax: 315-393-0320 | |
Ali M Gharagozloo, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 Fax: 315-393-9127 | |
Muhammad Afridi, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 214 King St, Ogdensburg, NY 13669 Phone: 315-393-3600 | |
Max S Laguerre, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5 Lyon Pl, Ogdensburg, NY 13669 Phone: 315-393-2314 Fax: 315-393-3873 |