| Ivan E Montalvo-otano, MD | |
|
830 Washington St, Watertown, NY 13601-4034 | |
| (315) 785-4313 | |
| (315) 779-5114 |
| Full Name | Ivan E Montalvo-otano |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology - Pain Medicine |
| Location | 830 Washington St, Watertown, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184660789 | NPI | - | NPPES |
| 02098319 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 218973 (New York) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | 218973 (New York) | Primary |
| Entity Name | Samaritan Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598713745 PECOS PAC ID: 8123914876 Enrollment ID: O20040227000525 |
| Entity Name | Jefferson Anesthesiologist Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508818014 PECOS PAC ID: 0840289260 Enrollment ID: O20040512000314 |
| Mailing Address | Practice Location Address |
|---|---|
| Ivan E Montalvo-otano, MD 830 Washington St, Watertown, NY 13601-4034 Ph: (315) 785-4313 | Ivan E Montalvo-otano, MD 830 Washington St, Watertown, NY 13601-4034 Ph: (315) 785-4313 |
Irvin Rafael Sanchez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 826 Washington St Fl 3, Watertown, NY 13601 Phone: 603-361-9051 | |
Dr. David R. Smith, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4313 Fax: 315-779-5114 | |
Dr. Erlinda P Vidal, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-8509 Fax: 315-785-8619 | |
Jarmila Slezkova, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-8509 Fax: 315-785-8619 | |
Gregory Murphy, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4313 Fax: 315-785-4313 | |
Dr. Edwin N Urf, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-8509 Fax: 315-785-8619 |