| Jennifer J Kottra, MD | |
|
1820 W Stevanna Way, Flagstaff, AZ 86001-1159 | |
| (928) 699-6853 | |
| Not Available |
| Full Name | Jennifer J Kottra |
|---|---|
| Gender | Female |
| Speciality | Diagnostic Radiology |
| Experience | 33 Years |
| Location | 1820 W Stevanna Way, Flagstaff, Arizona |
| 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 |
|---|---|---|
| Baptist Health Medical Group Inc | 5597867184 | 2431 |
| Appalachian Mountains Medical Llc | 6709016264 | 43 |
| Entity Name | Baptist Health Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518360296 PECOS PAC ID: 5597867184 Enrollment ID: O20150206000249 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer J Kottra, MD 6830 E Ironwood Dr, Paradise Valley, AZ 85253-2655 Ph: Not Available | Jennifer J Kottra, MD 1820 W Stevanna Way, Flagstaff, AZ 86001-1159 Ph: (928) 699-6853 |
Paul Hiette, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2515 Fax: 928-773-2240 |
Dr. Andrew David, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1329 N Beaver St Ste 1, Flagstaff, AZ 86001 Phone: 928-773-2260 Fax: 928-773-2402 |
Leslie N. Nishimi, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2515 Fax: 928-773-2240 |
Stephanie Renee Rice, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1329 N Beaver St, Flagstaff, AZ 86001 Phone: 928-773-2261 |
Michael J. Labenz, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2215 Fax: 928-773-2240 |
Stephen V. Ward, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Avenue, Suite 101, Flagstaff, AZ 86001 Phone: 928-773-2515 Fax: 928-773-2240 |
Dr. Philip Wing-thai Ho, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 77 W Forest Ave Ste 101, Flagstaff, AZ 86001 Phone: 928-773-2515 Fax: 928-225-3704 |