Hetal Prakash Kothari, MD in Olympia, WA - Medicare Internal Medicine

Hetal Prakash Kothari, MD is a medicare enrolled "Internal Medicine" physician in Olympia, Washington. She graduated from medical school in 2003 and has 21 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Providence Health And Services Washington and her current practice location is 413 Lilly Rd Ne, Olympia, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 493-4083.

Hetal Prakash Kothari is licensed to practice in Washington (license number MD60076666) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1417190463.

Contact Information

	Hetal Prakash Kothari, MD
	413 Lilly Rd Ne, Olympia, WA 98506-5133
	(360) 493-4083
	(360) 486-6436

Map and Direction

Physician's Profile

Full Name	Hetal Prakash Kothari
Gender	Female
Speciality	Internal Medicine
Experience	21 Years
Location	413 Lilly Rd Ne, Olympia, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Hetal Prakash Kothari graduated from medical school in 2003

NPI Data:

NPI Number: 1417190463
Provider Enumeration Date: 04/07/2009
Last Update Date: 06/16/2021

Medicare PECOS Information:

PECOS PAC ID: 1850442138
Enrollment ID: I20090626000124

Medical Identifiers

Medical identifiers for Hetal Prakash Kothari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417190463	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	MD60076666 (Washington)	Primary
208M00000X	Hospitalist	MD60076666 (Washington)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Providence St Peter Hospital	Olympia, WA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Providence Health And Services Washington	6709782600	387

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Hetal Prakash Kothari allows following entities to bill medicare on her behalf.

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174744304 PECOS PAC ID: 6709782600 Enrollment ID: O20031211000028

Entity Name	Providence Health & Services Washington
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619176997 PECOS PAC ID: 7719873496 Enrollment ID: O20040227000744

Entity Name	Hoang H Dang Md Ps
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164775508 PECOS PAC ID: 4385966449 Enrollment ID: O20141201002000

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Hetal Prakash Kothari is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Hetal Prakash Kothari, MD Po Box 3360, Portland, OR 97208-3360 Ph: () -	Hetal Prakash Kothari, MD 413 Lilly Rd Ne, Olympia, WA 98506-5133 Ph: (360) 493-4083

Reviews and Comments

Internal Medicine Doctors in Olympia, WA

Miss Tui Agaapapalagi Lauilefue, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3920 Capital Mall Dr Sw Ste 200, Olympia, WA 98502 Phone: 360-596-4899 Fax: 360-596-4889
Monique C. Semien, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 700 Lilly Rd Ne, Olympia, WA 98506 Phone: 360-923-7000 Fax: 360-923-7089
Dr. Philip William Berger, D.O. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 406 Black Hills Ln Sw, Ste A, Olympia, WA 98502 Phone: 360-754-1737 Fax: 360-704-3408
Mr. Robert Love Huck, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne Suite 201, Olympia, WA 98503 Phone: 360-413-8272 Fax: 360-413-8878
Dr. Ngozi Achebe, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3900 Capitol Mall Dr Sw, Sw, Olympia, WA 98502 Phone: 360-754-5858 Fax: 360-704-4751
Dr. Robert C Tomford, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne, Suite 203, Olympia, WA 98506 Phone: 360-413-8121 Fax: 360-413-8865
Brad Allan Howard, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Lilly Rd Ne Ste 100, Olympia, WA 98506 Phone: 360-413-8525 Fax: 360-412-6477

Hetal Prakash Kothari, MD - Medicare Internal Medicine in Olympia, WA