| Jennifer J Kottra, MD | |
|
4201 W Medical Center Dr, Mchenry, IL 60050-8409 | |
| (815) 334-5566 | |
| (815) 759-4008 |
| Full Name | Jennifer J Kottra |
|---|---|
| Gender | Female |
| Speciality | Radiation Oncology |
| Experience | 32 Years |
| Location | 4201 W Medical Center Dr, Mchenry, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477508935 | NPI | - | NPPES |
| 499378 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 28102 (Arizona) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | 036139297 (Illinois) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Appalachian Mountains Medical Llc | 6709016264 | 34 |
| Uintah Basin Medical Center Inc | 0244131944 | 56 |
| Baptist Health Medical Group Inc | 5597867184 | 2132 |
| Entity Name | Princeton Community Hospital Assn. Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093917643 PECOS PAC ID: 3678482221 Enrollment ID: O20031211000436 |
| Entity Name | Appalachian Mountains Medical Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881023117 PECOS PAC ID: 6709016264 Enrollment ID: O20140228000564 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer J Kottra, MD Dept 2018, Po Box 29675, Phoenix, AZ 85038-9675 Ph: () - | Jennifer J Kottra, MD 4201 W Medical Center Dr, Mchenry, IL 60050-8409 Ph: (815) 334-5566 |
Ernest A Conti, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr Ste B203, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Abhijit Patil, Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
James T Link, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3929 Mercy Dr, Mchenry, IL 60050 Phone: 815-759-0800 Fax: 815-759-2367 | |
Milton W Hummel, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 3929 Mercy Dr, Mchenry, IL 60050 Phone: 815-759-0800 Fax: 815-759-2367 | |
Dr. Aaron Wittenberg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Balatripura Voruganti, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 | |
Michael J. Flaherty, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4201 W Medical Center Dr, Mchenry, IL 60050 Phone: 815-334-5566 Fax: 815-759-4008 |