Charles Kotulski, MD | |
Brian D. Allgood Army Community Hospital, 549th Hospital Center Unit #15245, Apo, AP 96271-5245 | |
(315) 737-1219 | |
Not Available |
Full Name | Charles Kotulski |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | Brian D. Allgood Army Community Hospital, Apo, Armed Forces Pacific |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902398407 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | ML60863184 (Washington) | Primary |
Entity Name | Marshfield Clinic Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952347981 PECOS PAC ID: 2264345206 Enrollment ID: O20031106000590 |
Entity Name | Beaver Dam Community Hospitals Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972188555 PECOS PAC ID: 2567370539 Enrollment ID: O20040210000666 |
Entity Name | Memorial Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20040519001426 |
Entity Name | Flambeau Hospital, Inc. |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1700963048 PECOS PAC ID: 9032029871 Enrollment ID: O20070828000478 |
Entity Name | Memorial Hospital Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1346239373 PECOS PAC ID: 2365433224 Enrollment ID: O20110526000807 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093221434 PECOS PAC ID: 5698071173 Enrollment ID: O20180208000096 |
Entity Name | Lakeview Medical Center Inc Of Rice Lake |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093201832 PECOS PAC ID: 6103737820 Enrollment ID: O20180817001484 |
Entity Name | Mchs Hospitals Inc |
---|---|
Entity Type | Part A Provider - Critical Access Hospital |
Entity Identifiers | NPI Number: 1952890873 PECOS PAC ID: 5698071173 Enrollment ID: O20180904002962 |
Entity Name | Flambeau Hospital, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194317966 PECOS PAC ID: 9032029871 Enrollment ID: O20210409000059 |
Mailing Address | Practice Location Address |
---|---|
Charles Kotulski, MD 84042 310th St, Madelia, MN 56062-5417 Ph: (507) 380-4069 | Charles Kotulski, MD Brian D. Allgood Army Community Hospital, 549th Hospital Center Unit #15245, Apo, AP 96271-5245 Ph: (315) 737-1219 |
Danielle Dawn Acacio, MD Family Medicine Medicare: Medicare Enrolled Practice Location: Kunsan Ab, Apo, AP 96264 Phone: 315-782-2273 | |
Shelley Raska, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 18th Medical Group, Unit 5142, Apo, AP 96368 Phone: 518-630-4229 | |
Andrew Thomas Bushong, Family Medicine Medicare: Medicare Enrolled Practice Location: Unit 2022 Box 8th, Apo, AP 96264 Phone: 315-784-5227 | |
Akira Miyanari, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 18th Medical Group, Unit 5142, Apo, AP 96368 Phone: 098-960-4817 | |
Anil Rajan, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18 Th Medical Group, Unit 5142, Apo, AP 96368 Phone: 630-960-4305 | |
Dr. Arthur New Lawrance Jr., DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: Unit 5142 Box 18th, Apo, AP 96368 Phone: 315-630-0151 | |
Ryan Mark, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 18th Medical Group, Unit 5142, Apo, AP 96368 Phone: 681-342-3600 |