| Dr Benjamin Robert Kavinoky, DO | |
|
880 Alder Ave, Incline Village, NV 89451 | |
| (775) 833-4100 | |
| Not Available |
| Full Name | Dr Benjamin Robert Kavinoky |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 880 Alder Ave, Incline Village, Nevada |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285958280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 251754 (New York) | Secondary |
| 207P00000X | Emergency Medicine | DO2494 (Nevada) | Primary |
| Entity Name | Carson Tahoe Emergency Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396822821 PECOS PAC ID: 7416930573 Enrollment ID: O20040609001476 |
| Entity Name | Vituity-nevada Medical Services Koury & Partners Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396585154 PECOS PAC ID: 2163968603 Enrollment ID: O20240722000682 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Benjamin Robert Kavinoky, DO 2100 Powell St Ste 900, Emeryville, CA 94608-1844 Ph: (510) 350-2600 | Dr Benjamin Robert Kavinoky, DO 880 Alder Ave, Incline Village, NV 89451 Ph: (775) 833-4100 |
Carol Scott, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 880 Alder Ave, Incline Village, NV 89451 Phone: 530-582-3200 Fax: 530-587-6126 | |
Dianne Lory Higgins, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 880 Alder Ave, Second Floor, Incline Village, NV 89451 Phone: 775-831-5308 Fax: 775-831-3295 | |
Monica Anne Courey, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 880 Alder Ave, Incline Village, NV 89451 Phone: 530-582-3200 Fax: 530-587-6126 |