Sandip Ujamlal Kothari, MD in Holland, MI - Medicare Emergency Medicine

Sandip Ujamlal Kothari, MD is a medicare enrolled "Emergency Medicine - Emergency Medical Services" physician in Holland, Michigan. His current practice location is 602 Michigan Ave, Holland, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 394-3522.

Sandip Ujamlal Kothari is licensed to practice in Michigan (license number 4301077349) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1417902024.

Contact Information

	Sandip Ujamlal Kothari, MD
	602 Michigan Ave, Holland, MI 49423
	(616) 394-3522
	Not Available

Map and Direction

Physician's Profile

Full Name	Sandip Ujamlal Kothari
Gender	Male
Speciality	Emergency Medicine - Emergency Medical Services
Location	602 Michigan Ave, Holland, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417902024
Provider Enumeration Date: 05/23/2006
Last Update Date: 07/01/2010

Medicare PECOS Information:

PECOS PAC ID: 1658479514
Enrollment ID: I20070531000386

Medical Identifiers

Medical identifiers for Sandip Ujamlal Kothari such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1417902024	NPI	-	NPPES
930112013	Other	MI	RAILROAD MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207PE0004X	Emergency Medicine - Emergency Medical Services	4301077349 (Michigan)	Primary

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. Sandip Ujamlal Kothari allows following entities to bill medicare on his behalf.

Entity Name	Epi Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225082266 PECOS PAC ID: 0941293302 Enrollment ID: O20040403000226

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. Sandip Ujamlal 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
Sandip Ujamlal Kothari, MD Po Box 30516, Dept 4006, Lansing, MI 48909-8016 Ph: (616) 975-1845	Sandip Ujamlal Kothari, MD 602 Michigan Ave, Holland, MI 49423 Ph: (616) 394-3522

Reviews and Comments

Emergency Medicine Doctors in Holland, MI

Dr. William Carl Harris, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-394-3522
Tod Wyn, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 270 Hoover Blvd, Holland, MI 49423 Phone: 616-396-2972 Fax: 616-396-2808
Kerry Lynne Vegter, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-394-3522
John David Nicely, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-394-3522
Scott Alan Loos, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-394-3522
Dr. Luke Harry Vanklompenberg, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 602 Michigan Ave, Holland, MI 49423 Phone: 616-975-1845

Sandip Ujamlal Kothari, MD - Medicare Emergency Medicine in Holland, MI