Mr Eduard Volfovitch Kotlyarov, MD in Lapeer, MI

Mr Eduard Volfovitch Kotlyarov, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Lapeer, Michigan. His current practice location is 1375 N Main St, Lapeer, Michigan. You can reach out to his office (for appointments etc.) via phone at (810) 667-5500.

Mr Eduard Volfovitch Kotlyarov is licensed to practice in Michigan (license number 4301061744) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1851348247.

Contact Information

	Mr Eduard Volfovitch Kotlyarov, MD
	1375 N Main St, Lapeer, MI 48446-1350
	(810) 667-5500
	Not Available

Map and Direction

Physician's Profile

Full Name	Mr Eduard Volfovitch Kotlyarov
Gender	Male
Speciality	Radiology - Diagnostic Radiology
Location	1375 N Main St, Lapeer, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851348247
Provider Enumeration Date: 05/30/2006
Last Update Date: 02/06/2013

Medicare PECOS Information:

PECOS PAC ID: 7911811187
Enrollment ID: I20180806002978

Medical Identifiers

Medical identifiers for Mr Eduard Volfovitch Kotlyarov such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851348247	NPI	-	NPPES
2965193	Medicaid	MI
300049506	Other	MI	RRMC
310D460020	Other	MI	BCBS GROUP PIN
3006399421	Other	MI	BCBS PIN #
CA5318	Other	MI	MEDICARE RR GROUP PIN
2965228	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085N0904X	Radiology - Nuclear Radiology	0101032700 (Virginia)	Secondary
2085N0904X	Radiology - Nuclear Radiology	D0026059 (Maryland)	Secondary
2085N0904X	Radiology - Nuclear Radiology	4301061744 (Michigan)	Secondary
2085N0904X	Radiology - Nuclear Radiology	MD11451 (District Of Columbia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	D0026059 (Maryland)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	0101032700 (Virginia)	Secondary
2085R0202X	Radiology - Diagnostic Radiology	4301061744 (Michigan)	Primary
2085R0202X	Radiology - Diagnostic Radiology	MD11451 (District Of Columbia)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mr Eduard Volfovitch Kotlyarov allows following entities to bill medicare on his behalf.

Entity Name	University Of Virginia Physicians Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033138250 PECOS PAC ID: 4880590728 Enrollment ID: O20040102000780

Entity Name	University Of Virginia Imaging Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720233596 PECOS PAC ID: 2567479405 Enrollment ID: O20090421000339

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Eduard Volfovitch Kotlyarov is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mr Eduard Volfovitch Kotlyarov, MD Po Box 32627, Detroit, MI 48232-0627 Ph: (866) 744-1452	Mr Eduard Volfovitch Kotlyarov, MD 1375 N Main St, Lapeer, MI 48446-1350 Ph: (810) 667-5500

Reviews and Comments

Radiology Doctors in Lapeer, MI

Dr. Ronald A Sparschu, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 3273 Davison Rd Ste 3, Lapeer, MI 48446 Phone: 810-245-5675 Fax: 810-235-6650
Reese James, D.O. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5744 Fax: 810-667-5741
Leighton Ms Lum, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5500
Donna R Moyer, DO Radiology Medicare: Accepting Medicare Assignments Practice Location: 1375 N Main St, Lapeer, MI 48446 Phone: 810-667-5500

Mr Eduard Volfovitch Kotlyarov, MD - Medicare Radiology in Lapeer, MI