James David Kotick, MD | |
6310 Health Park Way Ste 110, Lakewood Ranch, FL 34202-5177 | |
(941) 822-8955 | |
(941) 822-8684 |
Full Name | James David Kotick |
---|---|
Gender | Male |
Speciality | Plastic And Reconstructive Surgery |
Experience | 13 Years |
Location | 6310 Health Park Way Ste 110, Lakewood Ranch, Florida |
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 |
---|---|---|---|
1336438704 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2086S0127X | Surgery - Trauma Surgery | ME121445 (Florida) | Secondary |
2086S0122X | Surgery - Plastic And Reconstructive Surgery | ME121445 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lakewood Ranch Medical Center | Bradenton, FL | Hospital |
Blake Medical Center | Bradenton, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Burn And Reconstructive Centers Of Florida Inc | 5395901722 | 2 |
Entity Name | Burn And Reconstructive Centers Of Florida Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013283803 PECOS PAC ID: 5395901722 Enrollment ID: O20120730000302 |
Mailing Address | Practice Location Address |
---|---|
James David Kotick, MD Po Box 3725, Augusta, GA 30914-3725 Ph: (706) 863-9595 | James David Kotick, MD 6310 Health Park Way Ste 110, Lakewood Ranch, FL 34202-5177 Ph: (941) 822-8955 |
Dr. Katherine Moore Keeley, MD Surgery Medicare: Medicare Enrolled Practice Location: 8430 Enterprise Cir, Suite 130, Lakewood Ranch, FL 34202 Phone: 941-366-3000 Fax: 941-366-3002 | |
Anna M Widmyer, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6274 Lake Osprey Dr, Lakewood Ranch, FL 34240 Phone: 941-500-3350 Fax: 941-220-4338 | |
David Dexter, Surgery Medicare: Accepting Medicare Assignments Practice Location: 8340 Lakewood Ranch Blvd Ste 290, Lakewood Ranch, FL 34202 Phone: 941-254-6767 Fax: 941-213-6991 |