| Patrick Kortebein, MD | |
|
4887 Village Green Dr, El Dorado Hills, CA 95762-7676 | |
| (501) 772-6843 | |
| Not Available |
| Full Name | Patrick Kortebein |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 4887 Village Green Dr, El Dorado Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568552131 | NPI | - | NPPES |
| 152733001 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | G199730 (California) | Primary |
| Entity Name | Johns Hopkins University |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719 |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Kortebein, MD 4887 Village Green Dr, El Dorado Hills, CA 95762-7676 Ph: (501) 772-6843 | Patrick Kortebein, MD 4887 Village Green Dr, El Dorado Hills, CA 95762-7676 Ph: (501) 772-6843 |
Dr. Lisa Sandusky, MD Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 5089 Arlington Way, El Dorado Hills, CA 95762 Phone: 650-452-5420 Fax: 650-403-6873 | |
Elizabeth Yanez, Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4990 Hillsdale Cir Ste 100, El Dorado Hills, CA 95762 Phone: 916-905-6378 Fax: 916-672-0114 | |
Julia Marie Heitke, DPT Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 4990 Hillsdale Cir Ste 100, El Dorado Hills, CA 95762 Phone: 916-905-6378 Fax: 916-672-0114 | |
Skyler Wagaman, DPT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 4990 Hillsdale Cir Ste 300, El Dorado Hills, CA 95762 Phone: 916-905-6378 Fax: 916-672-0114 |