Dr Gregory Michael Kotlarz, PHD in Royal Oak, MI - Medicare Psychologist Provider

Dr Gregory Michael Kotlarz, PHD is a medicare enrolled "Psychologist - Clinical" provider in Royal Oak, Michigan. His current practice location is 221 S Main St, Suite 201, Royal Oak, Michigan. You can reach out to his office (for appointments etc.) via phone at (248) 398-6459.

Dr Gregory Michael Kotlarz is licensed to practice in Michigan (license number 6301006594) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1134160732.

Contact Information

	Dr Gregory Michael Kotlarz, PHD
	221 S Main St, Suite 201, Royal Oak, MI 48067-2611
	(248) 398-6459
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gregory Michael Kotlarz
Gender	Male
Speciality	Psychologist - Clinical
Location	221 S Main St, Royal Oak, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134160732
Provider Enumeration Date: 06/08/2006
Last Update Date: 07/08/2022

Medicare PECOS Information:

PECOS PAC ID: 3476467366
Enrollment ID: I20040108000309

Medical Identifiers

Medical identifiers for Dr Gregory Michael Kotlarz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134160732	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301006594 (Michigan)	Primary

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. Dr Gregory Michael Kotlarz allows following entities to bill medicare on his behalf.

Entity Name	Seniors Wellness Group Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801848718 PECOS PAC ID: 7012950462 Enrollment ID: O20050607000150

Entity Name	Seniors Wellness Group Of Michigan Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801848718 PECOS PAC ID: 7012950462 Enrollment ID: O20050607000229

Entity Name	Center For Integrated Health And Well-being, P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073242632 PECOS PAC ID: 9739562489 Enrollment ID: O20220813000531

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. Dr Gregory Michael Kotlarz 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
Dr Gregory Michael Kotlarz, PHD 221 S Main St, Suite 201, Royal Oak, MI 48067-2611 Ph: (248) 398-6459	Dr Gregory Michael Kotlarz, PHD 221 S Main St, Suite 201, Royal Oak, MI 48067-2611 Ph: (248) 398-6459

Reviews and Comments

Psychologist in Royal Oak, MI

Christopher Patrick Williams, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2510 Galpin Ave, Royal Oak, MI 48073 Phone: 773-218-0523
Lindsey L Bupp, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3007 N Altadena Ave, Royal Oak, MI 48073 Phone: 520-241-4044
John A Yakamovich Ii, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1026 E 11 Mile Rd, #100, Royal Oak, MI 48067 Phone: 248-546-4772 Fax: 248-399-0083
Mrs. Diane L. Sterling, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 306 E 4th St, Royal Oak, MI 48067 Phone: 248-544-0433
Dr. Jeffry Bruce Hillenberg, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3577 W 13 Mile Rd, Suite 142, Royal Oak, MI 48073 Phone: 248-892-4364 Fax: 248-551-8437
Amy Monicatti, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1708 Roseland Ave, Royal Oak, MI 48073 Phone: 248-514-5371
Jennifer Wilson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1424 E 11 Mile Rd, Royal Oak, MI 48067 Phone: 248-548-4044

Dr Gregory Michael Kotlarz, PHD - Medicare Psychologist in Royal Oak, MI