| Dr William Hershel Cottrell, MD | |
|
1139 3rd St, South Lake Tahoe, CA 96150-3465 | |
| (530) 541-3100 | |
| (530) 541-3016 |
| Full Name | Dr William Hershel Cottrell |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery |
| Location | 1139 3rd St, South Lake Tahoe, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952351975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | G28724 (California) | Primary |
| 207X00000X | Orthopaedic Surgery | 13805 (Nevada) | Secondary |
| Entity Name | Tahoe Orthopedics & Sports Medicine, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902131287 PECOS PAC ID: 9537203351 Enrollment ID: O20100217000655 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr William Hershel Cottrell, MD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659 | Dr William Hershel Cottrell, MD 1139 3rd St, South Lake Tahoe, CA 96150-3465 Ph: (530) 541-3100 |
Zachary A Child, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5554 Fax: 530-541-3016 | |
Dr. Stephen Paul Abelow, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 2311 Lake Tahoe Blvd, Suite 6, South Lake Tahoe, CA 96150 Phone: 530-544-8033 | |
Dr. Terrence R Orr, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2170 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5554 Fax: 530-541-3016 | |
Jeffrey A Orr, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2170b South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5554 Fax: 530-541-3016 |