Frederick Kotalik, MD | |
130 South Bryn Mawr Avenue, Bryn Mawr, PA 19010 | |
(610) 526-3583 | |
(610) 526-3614 |
Full Name | Frederick Kotalik |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 130 South Bryn Mawr Avenue, Bryn Mawr, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366416117 | NPI | - | NPPES |
0012667790001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | MD044433L (Pennsylvania) | Primary |
Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191209002986 |
Mailing Address | Practice Location Address |
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Frederick Kotalik, MD Po Box 3012, Wilmington, DE 19804 Ph: (800) 456-4629 | Frederick Kotalik, MD 130 South Bryn Mawr Avenue, Bryn Mawr, PA 19010 Ph: (610) 526-3583 |
Joshua M. Baron, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Phone: 610-526-3583 Fax: 610-526-3614 | |
Dianna Elizabeth Vassallo, PA-C Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 S Bryn Mawr Ave # 203, Bryn Mawr, PA 19010 Phone: 484-337-3000 | |
Christopher X Daly, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 South Bryn Mawr Avenue, Bryn Mawr, PA 19010 Phone: 610-526-3583 Fax: 610-526-3614 | |
Dr. Jennifer Lynn Campbell, D.O. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Phone: 484-337-3000 | |
Joshua M Brown, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 130 S Bryn Mawr Ave, Bryn Mawr, PA 19010 Phone: 484-337-3000 | |
Gregory W Higbee, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 130 South Bryn Mawr Avenue, Bryn Mawr, PA 19010 Phone: 610-526-3583 Fax: 610-526-3614 | |
Leonard P Ulan Jr., DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 130 South Bryn Mawr Avenue, Bryn Mawr, PA 19010 Phone: 610-526-3583 Fax: 610-526-3614 |