Urszula H Kotlow, MD - Medicare Psychiatry in Phoenix, AZ

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Urszula H Kotlow, MD is a medicare enrolled "Psychiatry & Neurology - Child & Adolescent Psychiatry" physician in Phoenix, Arizona. She went to University Of Massachusetts Medical School and graduated in 1992 and has 33 years of diverse experience with area of expertise as Psychiatry. She is a member of the group practice Banner Hospital Based Physicians Arizona Llc and her current practice location is 1919 E Thomas Rd, Ambulatory Building, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 546-0990.

Urszula H Kotlow is licensed to practice in Arizona (license number 33139) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1871692178.

Contact Information

Urszula H Kotlow, MD
1919 E Thomas Rd, Ambulatory Building,
Phoenix, AZ 85016-7710
(602) 546-0990
(602) 546-0401

Map and Direction




Physician's Profile

Full NameUrszula H Kotlow
GenderFemale
SpecialityPsychiatry
Experience33 Years
Location1919 E Thomas Rd, Phoenix, Arizona
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Urszula H Kotlow attended and graduated from University Of Massachusetts Medical School in 1992
  NPI Data:
  • NPI Number: 1871692178
  • Provider Enumeration Date: 09/22/2006
  • Last Update Date: 11/28/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062481252
  • Enrollment ID: I20040924000645

Medical Identifiers

Medical identifiers for Urszula H Kotlow such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1871692178NPI-NPPES
881608MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2084P0800XPsychiatry & Neurology - Psychiatry 33139 (Arizona)Secondary
2084P0800XPsychiatry & Neurology - Psychiatry DR.0058828 (Colorado)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry DR.0058828 (Colorado)Secondary
2084P0804XPsychiatry & Neurology - Child & Adolescent Psychiatry 33139 (Arizona)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Banner Hospital Based Physicians Arizona Llc3274782487524

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. Urszula H Kotlow allows following entities to bill medicare on her behalf.
Entity NameBanner Physician Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316228802
PECOS PAC ID: 6204002272
Enrollment ID: O20111222000509
Entity NameBanner Physician Super Specialists Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841573870
PECOS PAC ID: 7911173794
Enrollment ID: O20111228000353
Entity NameBanner Hospital Based Physicians Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275889891
PECOS PAC ID: 3274782487
Enrollment ID: O20121003000752

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. Urszula H Kotlow 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 AddressPractice Location Address
Urszula H Kotlow, MD
1919 E Thomas Rd, Building 2108, Suite 101,
Phoenix, AZ 85016-7710

Ph: (602) 512-8029		Urszula H Kotlow, MD
1919 E Thomas Rd, Ambulatory Building,
Phoenix, AZ 85016-7710

Ph: (602) 546-0990

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.