| Dr Emanuel Joseph Kokotakis, MD | |
|
18101 Prince Philip Dr, Olney, MD 20832-1514 | |
| (301) 774-8882 | |
| Not Available |
| Full Name | Dr Emanuel Joseph Kokotakis |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 18101 Prince Philip Dr, Olney, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255350278 | NPI | - | NPPES |
| 326502101 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | D56030 (Maryland) | Primary |
| Entity Name | Mgmc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891797148 PECOS PAC ID: 9537073119 Enrollment ID: O20031220000056 |
| Entity Name | Usacs Integrated Acute Care Services Of Maryland Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922598929 PECOS PAC ID: 4486900172 Enrollment ID: O20190604001354 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Emanuel Joseph Kokotakis, MD 18101 Prince Philip Drive, Medstar Montgomery Medical Center, Olney, MD 20832 Ph: (301) 774-8882 | Dr Emanuel Joseph Kokotakis, MD 18101 Prince Philip Dr, Olney, MD 20832-1514 Ph: (301) 774-8882 |
Dr. Ata Motamedi, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 17904 Georgia Ave, Suite # 304, Olney, MD 20832 Phone: 301-924-2790 Fax: 301-924-1631 | |
Amit Pathak, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2901 Olney Sandy Spring Rd, Olney, MD 20832 Phone: 301-774-6655 Fax: 301-774-5652 | |
Kunwardeep Singh Sohal, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18101 Prince Philip Dr, Olney, MD 20832 Phone: 301-774-8882 | |
Robert J Kreitman, MP Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 18111 Prince Philip Dr, #327, Olney, MD 20832 Phone: 301-774-6136 Fax: 301-570-0136 | |
Dr. Christopher John Mays, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18111 Prince Philip Dr, Suite 207, Olney, MD 20832 Phone: 301-774-7170 Fax: 301-774-6676 | |
Dr. Joseph Garrett Reilly, M.D., PH.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3418 Olandwood Ct, Suite 111, Olney, MD 20832 Phone: 301-774-8198 Fax: 301-774-8199 | |
Dr. Behzad Doratotaj, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 18101 Prince Philip Dr, Olney, MD 20832 Phone: 301-774-8882 Fax: 301-774-8838 |