Dr Petio Vladimirov Kotov, MD | |
111 Colchester Ave, Burlington, VT 05401-1473 | |
(802) 847-0000 | |
Not Available |
Full Name | Dr Petio Vladimirov Kotov |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 26 Years |
Location | 111 Colchester Ave, Burlington, Vermont |
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 |
---|---|---|---|
1790731651 | NPI | - | NPPES |
0829560001 | Other | MI | MEDICARE DME |
4968078 | Medicaid | MI | |
PK087243 | Other | MI | BLUE CROSS STATE ID |
0C16002 | Other | MI | MEDICARE GROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 4301087243 (Michigan) | Secondary |
207ZC0500X | Pathology - Cytopathology | 042-0015453 (Vermont) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Up Health System Portage | Hancock, MI | Hospital |
Aspirus Keweenaw Hospital And Clinics | Laurium, MI | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Portage Hospital Llc | 1951538883 | 4 |
Aspirus Keweenaw | 8123912011 | 68 |
Entity Name | Aspirus Iron River Hospital & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497750830 PECOS PAC ID: 5294648929 Enrollment ID: O20031110000264 |
Entity Name | Aspirus Ironwood Hospital & Clinics Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992704753 PECOS PAC ID: 9032013198 Enrollment ID: O20031121000096 |
Entity Name | Aspirus Keweenaw |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1205998713 PECOS PAC ID: 8123912011 Enrollment ID: O20040211000763 |
Entity Name | Portage Physician Practices Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225461684 PECOS PAC ID: 6103053509 Enrollment ID: O20131210001058 |
Entity Name | Portage Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245667229 PECOS PAC ID: 1951538883 Enrollment ID: O20140224000087 |
Entity Name | Acquisition Bell Hospital Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699101345 PECOS PAC ID: 3971730987 Enrollment ID: O20140311000227 |
Mailing Address | Practice Location Address |
---|---|
Dr Petio Vladimirov Kotov, MD 500 Campus Dr., Hancock, MI 49930-1569 Ph: (906) 048-3100 | Dr Petio Vladimirov Kotov, MD 111 Colchester Ave, Burlington, VT 05401-1473 Ph: (802) 847-0000 |
Dr. Laura Aman Greene, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Ep-2-113, Burlington, VT 05401 Phone: 802-847-3566 Fax: 802-847-4155 | |
Dr. Pamela Cox Gibson, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-3989 Fax: 802-847-9644 | |
Dr. Mark K Fung, MD, PHD Pathology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Fletcher Allen Health Care - Pathology, Burlington, VT 05401 Phone: 802-847-3000 Fax: 802-847-3509 | |
Dr. Nicholas Jackson Hardin, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-2795 Fax: 802-847-9644 | |
Dr. Siba El Hussein, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-5121 | |
Ms. Allison Leigh Ciolino, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Burlington, VT 05401 Phone: 802-847-5121 | |
Dr. John H Lunde, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 111 Colchester Ave, Fletcher Allen Health Care, Pathology, Burlington, VT 05401 Phone: 802-847-5135 Fax: 802-847-3987 |