Simon Kotlyar, - Medicare Emergency Medicine in Durango, CO

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Simon Kotlyar, is a medicare enrolled "Emergency Medicine" physician in Durango, Colorado. His current practice location is 1010 Three Springs Blvd, Durango, Colorado. You can reach out to his office (for appointments etc.) via phone at (303) 306-7783.

Simon Kotlyar is licensed to practice in Colorado (license number 52012) 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 1629273941.

Contact Information

Simon Kotlyar,
1010 Three Springs Blvd,
Durango, CO 81301-8296
(303) 306-7783
(303) 306-7753

Map and Direction




Physician's Profile

Full NameSimon Kotlyar
GenderMale
SpecialityEmergency Medicine
Location1010 Three Springs Blvd, Durango, Colorado
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1629273941
  • Provider Enumeration Date: 06/18/2007
  • Last Update Date: 03/31/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 9638259930
  • Enrollment ID: I20171207003332

Medical Identifiers

Medical identifiers for Simon Kotlyar such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629273941NPI-NPPES
82735085MedicaidCO

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 244490-1 (New York)Secondary
207P00000XEmergency Medicine 044635 (Connecticut)Secondary
207P00000XEmergency Medicine 52012 (Colorado)Primary

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. Simon Kotlyar allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan of the Northwest
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184786527
PECOS PAC ID: 5799688230
Enrollment ID: O20040130000799

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. Simon Kotlyar 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 AddressPractice Location Address
Simon Kotlyar,
Po Box 17752,
Denver, CO 80217-0752

Ph: (303) 306-7783		Simon Kotlyar,
1010 Three Springs Blvd,
Durango, CO 81301-8296

Ph: (303) 306-7783

Reviews and Comments


Emergency Medicine Doctors in Durango, CO

Dr. Daniel Seth Caplin, DO
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 72 Suttle St Unit M, Durango, CO 81303
Phone: 970-828-3030    Fax: 970-247-0221
Dr. Mark Wesley Turpen, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 450 Prospector Ave, Durango, CO 81301
Phone: 970-759-6454    
Randal Ford Jernigan, MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1010 Three Springs Blvd, Durango, CO 81301
Phone: 970-764-2100    
John William Cartier Jr., MD
Emergency Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 2577 Main Ave, Durango, CO 81301
Phone: 970-247-8283    Fax: 970-259-4403
Stephen Samuel Haverly,
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Three Springs Blvd, Durango, CO 81301
Phone: 303-306-7783    Fax: 303-306-7753
Krystie M Karageorge, MD
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1010 Three Springs Blvd, Durango, CO 81301
Phone: 970-764-3352    Fax: 970-764-3375
Dr. Andrew James Wagner, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 1010 Three Springs Blvd, Durango, CO 81301
Phone: 970-247-4311    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.