| Dr David Sam Kotlyar, MD | |
|
2350 Corporate Cir, Henderson, NV 89074-7737 | |
| (702) 968-7210 | |
| (702) 735-7153 |
| Full Name | Dr David Sam Kotlyar |
|---|---|
| Gender | Male |
| Speciality | Medical Oncology |
| Experience | 17 Years |
| Location | 2350 Corporate Cir, Henderson, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245527670 | NPI | - | NPPES |
| 28488 | Other | NV | LICENSE |
| 1245527670 | Medicaid | NV |
| Facility Name | Location | Facility Type |
|---|---|---|
| Geisinger Medical Center | Danville, PA | Hospital |
| Geisinger-lewistown Hospital | Lewistown, PA | Hospital |
| Geisinger Jersey Shore Hospital | Jersey shore, PA | Hospital |
| Meritus Medical Center | Hagerstown, MD | Hospital |
| Geisinger St. Luke's Hospital | Orwigsburg, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Geisinger-hm Joint Venture Llc | 1355676370 | 324 |
| Geisinger Clinic | 5395657001 | 3078 |
| Entity Name | Geisinger Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
| Entity Name | Geisinger-hm Joint Venture Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144876137 PECOS PAC ID: 1355676370 Enrollment ID: O20190826000803 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr David Sam Kotlyar, MD 6355 S Buffalo Dr Fl 3, Las Vegas, NV 89113-2133 Ph: (702) 216-3346 | Dr David Sam Kotlyar, MD 2350 Corporate Cir, Henderson, NV 89074-7737 Ph: (702) 968-7210 |
James B Gabroy, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1535 West Warm Spring Road, Suite 135, Henderson, NV 89014 Phone: 702-450-3385 Fax: 702-898-1699 | |
Dr. Poupak Bigger, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2641 W Horizon Ridge Pkwy Ste 100, Henderson, NV 89052 Phone: 702-616-0091 Fax: 702-616-2329 | |
Dr. Jeannette Nee, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2865 Siena Heights Dr, Suite 331, Henderson, NV 89052 Phone: 702-407-0110 Fax: 702-407-0133 | |
Wen Liang, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2621 W Horizon Ridge Pkwy, Suite 150, Henderson, NV 89052 Phone: 702-837-6368 Fax: 702-837-0685 | |
Dr. Hidenobu Shigemitsu, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3001 Saint Rose Pkwy, Henderson, NV 89052 Phone: 702-616-5615 Fax: 702-616-5120 | |
Linda Lou Johnson, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1501 W Sunset Rd, Henderson, NV 89014 Phone: 725-269-7001 Fax: 725-269-7003 | |
Dr. Daejoon Anh, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2865 Siena Heights Dr Ste 331, Henderson, NV 89052 Phone: 702-407-0110 Fax: 702-407-0133 |