| Dr William Derek Kotchkoski, MD | |
|
950 W Wooster St, Bowling Green, OH 43402-2603 | |
| (419) 354-8900 | |
| (419) 866-5453 |
| Full Name | Dr William Derek Kotchkoski |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 17 Years |
| Location | 950 W Wooster St, Bowling Green, Ohio |
| 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 |
|---|---|---|---|
| 1750524062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 35124400 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Southern Ohio Medical Center | Portsmouth, OH | Hospital |
| Wood County Hospital | Bowling green, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Associated Pathologists Inc | 1759307614 | 3 |
| Somc Medical Care Foundation, Inc. | 9436061645 | 264 |
| Entity Name | Somc Medical Care Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1457467227 PECOS PAC ID: 9436061645 Enrollment ID: O20031125000203 |
| Entity Name | Associated Pathologists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619957933 PECOS PAC ID: 1759307614 Enrollment ID: O20051020000019 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Derek Kotchkoski, MD P.o. Box 1188, Bowling Green, OH 43402-1188 Ph: (419) 696-7200 | Dr William Derek Kotchkoski, MD 950 W Wooster St, Bowling Green, OH 43402-2603 Ph: (419) 354-8900 |
Susan Elaine Boldys, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 950 W Wooster St, Wood County Hospital, Bowling Green, OH 43402 Phone: 419-354-8977 Fax: 419-373-4157 | |
Weihong Li, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 950 W Wooster St, Bowling Green, OH 43402 Phone: 419-354-8900 | |
Wilfredo D Pacio, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 950 W Wooster St, Bowling Green, OH 43402 Phone: 419-354-8977 Fax: 419-354-8740 | |
Dr. Natalia V Markelova, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 950 W Wooster St, Bowling Green, OH 43402 Phone: 419-354-8900 Fax: 419-866-5453 |