| David Kotler, PA | |
|
263 Farmington Ave, Neurosurgery, Farmington, CT 06030-0001 | |
| (860) 679-4719 | |
| (860) 679-1419 |
| Full Name | David Kotler |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 38 Years |
| Location | 263 Farmington Ave, Farmington, Connecticut |
| 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 |
|---|---|---|---|
| 1922006014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AS0400X | Physician Assistant - Surgical | 000030 (Connecticut) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hartford Hospital | Hartford, CT | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hartford Healthcare Medical Group Specialists Pllc | 3173866241 | 1555 |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1407806391 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000700 |
| Entity Name | Hartford Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1770696643 PECOS PAC ID: 2567366016 Enrollment ID: O20031125000752 |
| Entity Name | University of Connecticut Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720083769 PECOS PAC ID: 3678472016 Enrollment ID: O20040106000105 |
| Entity Name | State of Connecticut |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669466561 PECOS PAC ID: 8022915677 Enrollment ID: O20041122000596 |
| Entity Name | Hartford Healthcare Urgent Care Centers LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093239683 PECOS PAC ID: 7618242777 Enrollment ID: O20170929001464 |
| Entity Name | Hartford Healthcare Medical Group Specialists PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023584216 PECOS PAC ID: 3173866241 Enrollment ID: O20190514001441 |
| Mailing Address | Practice Location Address |
|---|---|
| David Kotler, PA 263 Farmington Ave, Provider Enrollment Office, Farmington, CT 06030-2212 Ph: (860) 679-7503 | David Kotler, PA 263 Farmington Ave, Neurosurgery, Farmington, CT 06030-0001 Ph: (860) 679-4719 |
Mr. Jason S. Pinho, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave Ste 110, Farmington, CT 06032 Phone: 860-549-3210 |
Lisa Petricca, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 |
Alexandra Shaw, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: Uconn Medical Group, 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-6600 Fax: 860-679-6649 |
Ed Haggag, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 10 Birdseye Rd Ste 260, Farmington, CT 06032 Phone: 203-518-8414 |
Mr. Paul Christopher Polzella, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 399 Farmington Ave, Suite 210, Farmington, CT 06032 Phone: 860-548-7338 Fax: 860-674-4232 |
Shannon Carey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 263 Farmington Avenue, Farmington, CT 06030 Phone: 860-679-2100 Fax: 860-679-4815 |
Bridget Ann Walsh, PA Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 263 Farmington Ave, Farmington, CT 06030 Phone: 860-679-2000 |