Eric Russell Kotal, MD in Beaver Dam, WI - Medicare Emergency Medicine

Eric Russell Kotal, MD is a medicare enrolled "Emergency Medicine" physician in Beaver Dam, Wisconsin. He went to Southern Illinois University School Of Medicine and graduated in 2010 and has 15 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Ihc Beaver Dam Emergency Physicians, Llc and his current practice location is 707 S University Ave, Beaver Dam, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 887-6606.

Eric Russell Kotal is licensed to practice in Michigan (license number 4301097060) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194036368.

Contact Information

	Eric Russell Kotal, MD
	707 S University Ave, Beaver Dam, WI 53916-3027
	(920) 887-6606
	Not Available

Map and Direction

Physician's Profile

Full Name	Eric Russell Kotal
Gender	Male
Speciality	Emergency Medicine
Experience	15 Years
Location	707 S University Ave, Beaver Dam, Wisconsin
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Eric Russell Kotal attended and graduated from Southern Illinois University School Of Medicine in 2010

NPI Data:

NPI Number: 1194036368
Provider Enumeration Date: 06/23/2010
Last Update Date: 04/21/2017

Medicare PECOS Information:

PECOS PAC ID: 6002057106
Enrollment ID: I20130801000701

Medical Identifiers

Medical identifiers for Eric Russell Kotal such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1194036368	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207P00000X	Emergency Medicine	4301097060 (Michigan)	Primary
390200000X	Student In An Organized Health Care Education/training Program	4301097060 (Michigan)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Beaver Dam Community Hospital Dba Marshfield Medical Center - Beaver Dam	Beaver dam, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ihc Beaver Dam Emergency Physicians, Llc	8123129657	21

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. Eric Russell Kotal allows following entities to bill medicare on his behalf.

Entity Name	Ihc Beaver Dam Emergency Physicians, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912109836 PECOS PAC ID: 8123129657 Enrollment ID: O20070727000027

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. Eric Russell Kotal 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
Eric Russell Kotal, MD 100 Mcintosh Dr, Beaver Dam, WI 53916-9255 Ph: (815) 450-8972	Eric Russell Kotal, MD 707 S University Ave, Beaver Dam, WI 53916-3027 Ph: (920) 887-6606

Reviews and Comments

Emergency Medicine Doctors in Beaver Dam, WI

Richard T Tovar, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 414-290-6720 Fax: 414-290-6755
Dr. Tonya Rae Neumann, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 414-290-6720 Fax: 414-290-6755
Laura Ellen Correa, D.O. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 414-290-6720 Fax: 414-290-6755
Dr. Jeffrey Howard Lovell, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-6606
Bryan Hartland Lassner, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 707 S University Ave, Beaver Dam, WI 53916 Phone: 920-887-6606

Eric Russell Kotal, MD - Medicare Emergency Medicine in Beaver Dam, WI