John Ernest Cottle Jr, DO | |
721 River Dr, Suite A, Fort Bragg, CA 95437 | |
(707) 961-4631 | |
(707) 964-1192 |
Full Name | John Ernest Cottle Jr |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 43 Years |
Location | 721 River Dr, Fort Bragg, California |
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 |
---|---|---|---|
1447343116 | NPI | - | NPPES |
01340470 | Medicaid | CO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 34047 (Colorado) | Secondary |
207Q00000X | Family Medicine | 20A10161 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Mendocino Coast District Hospital | Fort bragg, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventist Health Mendocino Coast | 3678990769 | 60 |
Entity Name | Adventist Health Mendocino Coast |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538113725 PECOS PAC ID: 3678990769 Enrollment ID: O20220620001667 |
Mailing Address | Practice Location Address |
---|---|
John Ernest Cottle Jr, DO 721 River Dr, Suite A, Fort Bragg, CA 95437 Ph: (707) 961-4631 | John Ernest Cottle Jr, DO 721 River Dr, Suite A, Fort Bragg, CA 95437 Ph: (707) 961-4631 |
James M. Sandys, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 721 River Drive, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
John Gallo, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 721 River Dr, Suite A, Fort Bragg, CA 95437 Phone: 707-961-4631 Fax: 707-964-1192 | |
Diane I. Harris, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 850 Sequoia Cir, Fort Bragg, CA 95437 Phone: 707-964-0259 Fax: 707-964-0765 | |
Mr. Sanford Jay Brown, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 815b Sequoia Circle, Fort Bragg, CA 95437 Phone: 707-964-9168 Fax: 707-964-7243 | |
Mr. Wade Joseph Gray, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722 | |
Dr. Larry Ira Heiss, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722 |