Glenn A Kotnik, MD | |
2600 Greenbush St, Lafayette, IN 47904-2477 | |
(765) 448-8000 | |
Not Available |
Full Name | Glenn A Kotnik |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 2600 Greenbush St, Lafayette, Indiana |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578671921 | NPI | - | NPPES |
000000586104 | Other | IN | ANTHEM PROVIDER NUMBER |
100360710 | Medicaid | IN | |
000000085315 | Other | IN | ANTHEM |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207PE0004X | Emergency Medicine - Emergency Medical Services | 01039473A (Indiana) | Secondary |
207P00000X | Emergency Medicine | 01039473A (Indiana) | Primary |
Mailing Address | Practice Location Address |
---|---|
Glenn A Kotnik, MD Po Box 5545, Lafayette, IN 47903-5545 Ph: (765) 448-8000 | Glenn A Kotnik, MD 2600 Greenbush St, Lafayette, IN 47904-2477 Ph: (765) 448-8000 |
Andrew Anthony Alaimo, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4683 | |
Lance Randell Seagren, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Samir H Shah, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 765-502-4000 Fax: 765-502-4709 | |
Dr. Harsha V Musunuru, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 Fax: 317-838-4751 | |
Dr. Nirav L Chheda, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5165 Mccarty Ln, Lafayette, IN 47905 Phone: 765-448-8000 | |
Steven F Lane, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2600 Greenbush St, Lafayette, IN 47904 Phone: 765-448-8000 | |
Dr. Daniel Joseph Marino, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 S Creasy Ln, Lafayette, IN 47905 Phone: 800-654-9410 |