Dr Leon Victor Katz, MD | |
1220 Broadcasting Rd Ste 100, Wyomissing, PA 19610-3221 | |
(484) 628-5673 | |
(610) 371-8625 |
Full Name | Dr Leon Victor Katz |
---|---|
Gender | Male |
Speciality | Surgery |
Location | 1220 Broadcasting Rd Ste 100, Wyomissing, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1205890977 | NPI | - | NPPES |
101813 | Other | PA | MEDICARE PTAN |
02648066 | Medicaid | NY | |
101619989 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | MD428907 (Pennsylvania) | Primary |
208600000X | Surgery | 224351 (New York) | Secondary |
Entity Name | Long Island Minimally Invasive Surgery Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356545867 PECOS PAC ID: 1658541347 Enrollment ID: O20111007000574 |
Mailing Address | Practice Location Address |
---|---|
Dr Leon Victor Katz, MD 1220 Broadcasting Rd Ste 100, Wyomissing, PA 19610-3221 Ph: (484) 628-5673 | Dr Leon Victor Katz, MD 1220 Broadcasting Rd Ste 100, Wyomissing, PA 19610-3221 Ph: (484) 628-5673 |
Dr. John Wagdy Fam, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1220 Broadcasting Rd Ste 100, Wyomissing, PA 19610 Phone: 484-628-5673 | |
Dr. Stephan R Myers, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2603 Keiser Blvd, Suite 104, Wyomissing, PA 19610 Phone: 484-628-3150 Fax: 484-628-3139 | |
Dr. Thomas Charles Beetel, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2758 Century Boulevard, Suite 1, Wyomissing, PA 19610 Phone: 610-375-0500 | |
Paul Charles Aita, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1509 Old Mill Road, Wyomissing, PA 19610 Phone: 610-374-4062 | |
Dr. Samie Abbas Alley, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 1333 Van Steffy Ave, Wyomissing, PA 19610 Phone: 610-375-8087 Fax: 610-375-8649 | |
Amir Babak Behnam, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 2610 Keiser Blvd, Wyomissing, PA 19610 Phone: 484-628-9127 |