| Leo Israel Korotki, MD | |
|
1205 York Rd, Suite 22, Lutherville, MD 21093-6210 | |
| (410) 823-9333 | |
| (410) 823-9335 |
| Full Name | Leo Israel Korotki |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation - Pain Medicine |
| Location | 1205 York Rd, Lutherville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710984232 | NPI | - | NPPES |
| 218835 | Other | MD | MAMSI/ALLIANCE |
| S042 | Other | MD | BLUE CHOICE/BC/BS FEDERAL |
| 5037 | Other | MD | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | D0024017 (Maryland) | Primary |
| Entity Name | Five Star Physician Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083654479 PECOS PAC ID: 3779572862 Enrollment ID: O20040528000495 |
| Entity Name | Effective Integrative Healthcare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568707081 PECOS PAC ID: 4981849759 Enrollment ID: O20130327000096 |
| Mailing Address | Practice Location Address |
|---|---|
| Leo Israel Korotki, MD 1205 York Rd, Suite 22, Lutherville, MD 21093-6210 Ph: (410) 823-9333 | Leo Israel Korotki, MD 1205 York Rd, Suite 22, Lutherville, MD 21093-6210 Ph: (410) 823-9333 |
David Kerwin Jacobs, MD Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 1312 Bellona Ave Ste 302, Lutherville, MD 21093 Phone: 410-377-8900 | |
Sarah Cline, PT, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 10803 Falls Rd Ste 2100, Lutherville, MD 21093 Phone: 410-583-2665 | |
Lynda G Mules, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1212 York Rd, Suite C-101, Lutherville, MD 21093 Phone: 410-321-0377 Fax: 410-821-7517 | |
Michael P Huey, PTA Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 1212 York Rd, Suite C-101, Lutherville, MD 21093 Phone: 410-321-0377 Fax: 410-821-7517 | |
Ms. Elizabeth Ann Wright, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 515 Brightfield Rd, Lutherville, MD 21093 Phone: 410-296-1990 | |
Dr. Daniel Becker, MD Physical Medicine & Rehabilitation Medicare: May Accept Medicare Assignments Practice Location: 1447 York Rd Ste 508, Lutherville, MD 21093 Phone: 410-828-4629 Fax: 410-828-4783 |