| Biana Kotlyar, MD | |
|
2323 N Lake Dr, 1st Floor, Milwaukee, WI 53211-4508 | |
| (414) 291-1620 | |
| (414) 291-5969 |
| Full Name | Biana Kotlyar |
|---|---|
| Gender | Female |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2323 N Lake Dr, Milwaukee, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023397668 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 125-060700 (Illinois) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 64276 (Wisconsin) | Primary |
| Entity Name | Rockford Health Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043242886 PECOS PAC ID: 2567374036 Enrollment ID: O20031103000584 |
| Entity Name | Mercy Health System Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031111000307 |
| Mailing Address | Practice Location Address |
|---|---|
| Biana Kotlyar, MD 4425 N Port Washington Rd, Glendale, WI 53212-1082 Ph: () - | Biana Kotlyar, MD 2323 N Lake Dr, 1st Floor, Milwaukee, WI 53211-4508 Ph: (414) 291-1620 |
Christopher R Takala, DO Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 9000 W Wisconsin Ave, Pediatric Psychiatry, Milwaukee, WI 53226 Phone: 414-607-5280 | |
Mr. Joseph S. Goveas, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1155 N Mayfair Rd, Department Of Psychiatry, Milwaukee, WI 53226 Phone: 414-955-8900 Fax: 414-955-6285 | |
Dr. Bhupendra O Khatri, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3237 S 16th St, Milwaukee, WI 53215 Phone: 414-769-4040 Fax: 414-769-4041 | |
Joshua E Medow, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 9200 W Wisconsin Ave, Neurocritical Care, Milwaukee, WI 53226 Phone: 414-805-8710 Fax: 414-805-1101 | |
Gina G Negrette, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 820 N Plankinton Ave, Milwaukee, WI 53203 Phone: 414-273-1991 | |
Dr. John Pankiewicz, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 821 W State St, Suite 504, Milwaukee, WI 53233 Phone: 414-278-4690 Fax: 414-223-1817 | |
Dr. Kelly Jean Wahlen, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 2025 E Newport Ave Bldg D7th, Milwaukee, WI 53211 Phone: 414-229-7429 |