Iordan Potchileev, | |
1611 Nw 12th Ave, Miami, FL 33136-1005 | |
(305) 585-1111 | |
Not Available |
Full Name | Iordan Potchileev |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 1611 Nw 12th Ave, Miami, Florida |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477057974 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | OS19155 (Florida) | Primary |
Entity Name | Midwest Anesthesiologists Ltd |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447209390 PECOS PAC ID: 0547165524 Enrollment ID: O20031203000392 |
Entity Name | Endeavor Health Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
Mailing Address | Practice Location Address |
---|---|
Iordan Potchileev, 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: (305) 585-1111 | Iordan Potchileev, 1611 Nw 12th Ave, Miami, FL 33136-1005 Ph: (305) 585-1111 |
Dr. Pertti Kalevi Hakala, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1611 Nw 12th Ave, Central 300, Miami, FL 33136 Phone: 305-585-6970 | |
Christopher D Navarro, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-1111 | |
Parvine Sadeghi, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3100 Sw 62 Avenue, Miami, FL 33155 Phone: 305-663-8409 Fax: 305-663-8573 | |
Dr. Chandrashish Chakravarty, M.D Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1400 Nw 10th Ave, Apt 2009, Miami, FL 33136 Phone: 305-879-2292 | |
Meredith Miller Degnan, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1611 Nw 12th Ave, Miami, FL 33136 Phone: 305-585-6973 | |
Alexander Freytag, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1400 Nw 12th Ave, Miami, FL 33136 Phone: 305-325-5416 Fax: 305-548-0530 | |
Seth J Connor, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 9100 Sw 87th Ave, Miami, FL 33176 Phone: 305-271-9100 Fax: 305-270-8527 |