| Dr Sergey Sergeyevich Potepalov, MD | |
|
500 W Medical Center Blvd, Department Of Emergency Medicine, Webster, TX 77598-4220 | |
| (281) 338-3708 | |
| (281) 338-3224 |
| Full Name | Dr Sergey Sergeyevich Potepalov |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 15 Years |
| Location | 500 W Medical Center Blvd, Webster, Texas |
| 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 |
|---|---|---|---|
| 1215255633 | NPI | - | NPPES |
| 337030602 | Medicaid | TX | |
| 2103610 | Medicaid | LA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | MD.20529 (Louisiana) | Secondary |
| 207P00000X | Emergency Medicine | P9695 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Chi St. Lukes' Brazosport Hospital | Lake jackson, TX | Hospital |
| Sweeny Community Hospital | Sweeny, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Integrative Emergency Services Physician Group-houston Pllc | 7113258500 | 193 |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Sound Physicians Emergency Medicine Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518475557 PECOS PAC ID: 9739449802 Enrollment ID: O20180209001251 |
| Entity Name | Integrative Emergency Services Physician Group-houston Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sergey Sergeyevich Potepalov, MD 500 W Medical Center Blvd, Department Of Emergency Medicine, Webster, TX 77598-4220 Ph: (281) 338-3708 | Dr Sergey Sergeyevich Potepalov, MD 500 W Medical Center Blvd, Department Of Emergency Medicine, Webster, TX 77598-4220 Ph: (281) 338-3708 |
Derrick Huang, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W Medical Center Blvd, Webster, TX 77598 Phone: 281-332-2511 | |
Dr. Eziuche M Nwakanma, M.D, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Blossom St, Webster, TX 77598 Phone: 832-632-6500 Fax: 832-632-6855 | |
Dr. Mai P Nguyen, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 720 W Nasa Parkway, Webster, TX 77598 Phone: 832-932-5990 Fax: 832-932-5992 | |
Kerry L Kikuchi, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Medical Center Blvd, Webster, TX 77598 Phone: 281-338-3110 Fax: 281-338-3352 | |
Yolonda Bourgeois, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 Medical Center Blvd, Webster, TX 77598 Phone: 281-338-3110 Fax: 281-338-3352 | |
Jason M Karanja, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 500 W Medical Center Blvd, Webster, TX 77598 Phone: 281-332-2511 |