Eric Russell Kotal, MD - Medicare Emergency Medicine in Beaver Dam, WI

Eric Russell Kotal, MD is a medicare enrolled "Emergency Medicine" physician in Beaver Dam, Wisconsin. He went to Southern Illinois University School Of Medicine and graduated in 2010 and has 14 years of diverse experience with area of expertise as Emergency Medicine. He is a member of the group practice Ihc-beaver Dam Emergency Physicians, Llc and his current practice location is 707 S University Ave, Beaver Dam, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 887-6606.

Eric Russell Kotal is licensed to practice in Michigan (license number 4301097060) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194036368.

Contact Information

Eric Russell Kotal, MD
707 S University Ave,
Beaver Dam, WI 53916-3027
(920) 887-6606
Not Available



Physician's Profile

Full NameEric Russell Kotal
GenderMale
SpecialityEmergency Medicine
Experience14 Years
Location707 S University Ave, Beaver Dam, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Eric Russell Kotal attended and graduated from Southern Illinois University School Of Medicine in 2010
  NPI Data:
  • NPI Number: 1194036368
  • Provider Enumeration Date: 06/23/2010
  • Last Update Date: 04/21/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 6002057106
  • Enrollment ID: I20130801000701

Medical Identifiers

Medical identifiers for Eric Russell Kotal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194036368NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 4301097060 (Michigan)Primary
390200000XStudent In An Organized Health Care Education/training Program 4301097060 (Michigan)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Beaver Dam Community Hospital Dba Marshfield Medical Center - Beaver DamBeaver dam, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ihc-beaver Dam Emergency Physicians, Llc812312965719

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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. Eric Russell Kotal allows following entities to bill medicare on his behalf.
Entity NameIhc-beaver Dam Emergency Physicians, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912109836
PECOS PAC ID: 8123129657
Enrollment ID: O20070727000027

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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. Eric Russell Kotal 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
Eric Russell Kotal, MD
100 Mcintosh Dr,
Beaver Dam, WI 53916-9255

Ph: (815) 450-8972
Eric Russell Kotal, MD
707 S University Ave,
Beaver Dam, WI 53916-3027

Ph: (920) 887-6606

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Emergency Medicine Doctors in Beaver Dam, WI

Richard T Tovar, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 S University Ave, Beaver Dam, WI 53916
Phone: 414-290-6720    Fax: 414-290-6755
Dr. Tonya Rae Neumann, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 S University Ave, Beaver Dam, WI 53916
Phone: 414-290-6720    Fax: 414-290-6755
Laura Ellen Correa, D.O.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 S University Ave, Beaver Dam, WI 53916
Phone: 414-290-6720    Fax: 414-290-6755
Dr. Jeffrey Howard Lovell, M.D.
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 707 S University Ave, Beaver Dam, WI 53916
Phone: 920-887-6606    

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