Look up the most recent NPI and PECOS records

Tatjana A Rotko

Hospitalist

Allopathic & Osteopathic Physicians

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

PECOS Enrollment

This provider is enrolled in PECOS as TATJANA ROTKO.

Based on the most recent information from CMS, provider Tatjana A Rotko is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:21 AM.

Profile Details

Provider ID
1790033157
Provider Type
Individual
Full Name
Rotko, Tatjana A
Title
Dr.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
8/16/2012
Last Updated
7/17/2024

Contact Information

Practice Location

820 Prudential Dr Ste 304, Jacksonville, FL 32207-8205

(904) 202-3860

(904) 202-3846

Mailing Location

PO Box 746638, Atlanta, GA 30374-6638

(904) 202-1032

(904) 376-4107

Provider Taxonomies

Code	Description	License
Code 208M00000X Primary	Description Hospitalist Allopathic & Osteopathic Physicians	License ME117007 Florida
Code 207R00000X	Description Internal Medicine Allopathic & Osteopathic Physicians	License ME117007 Florida

Provider Identifiers

ID	Description	Issuer
ID 009682800	Description Medicaid	Issuer Unlisted Florida
ID P01275033	Description Other	Issuer RAILROAD MEDICARE Florida

Tatjana A Rotko

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Tran, Phuc V.

Poling, Ryan David

Karmand, Arezo June

Scindia, Deepak Narain

Paing, Soe

Milian Cardoso, Oscar A

Spinelli, Angela M

Chen, Fang

Blanks, Allison Morgan

Stone-Smith, Abbie Marie