Theodore Potruch, MD in North Las Vegas, NV

Theodore Potruch, MD is a medicare enrolled "Surgery" physician in North Las Vegas, Nevada. His current practice location is 2123 Civic Center Dr, North Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at (702) 333-1110.

Theodore Potruch is licensed to practice in Nevada (license number 3310) 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 1649225293.

Contact Information

	Theodore Potruch, MD
	2123 Civic Center Dr, North Las Vegas, NV 89030-6327
	(702) 333-1110
	(702) 685-0744

Map and Direction

Physician's Profile

Full Name	Theodore Potruch
Gender	Male
Speciality	Surgery
Location	2123 Civic Center Dr, North Las Vegas, Nevada
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1649225293
Provider Enumeration Date: 05/23/2006
Last Update Date: 03/06/2018

Medicare PECOS Information:

PECOS PAC ID: 7012017825
Enrollment ID: I20080226000335

Medical Identifiers

Medical identifiers for Theodore Potruch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1649225293	NPI	-	NPPES
V50306	Other	NV	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208600000X	Surgery	3310 (Nevada)	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. Theodore Potruch allows following entities to bill medicare on his behalf.

Entity Name	Angeles Medical Centers Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609327931 PECOS PAC ID: 9830472372 Enrollment ID: O20170208001056

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. Theodore Potruch 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
Theodore Potruch, MD 2123 Civic Center Dr, North Las Vegas, NV 89030-6327 Ph: (702) 333-1110	Theodore Potruch, MD 2123 Civic Center Dr, North Las Vegas, NV 89030-6327 Ph: (702) 333-1110

Reviews and Comments

Surgery Doctors in North Las Vegas, NV

Dr. Jaclyn L. Munn, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 6900 Pecos Rd, Surgical Department Mail Code 112, North Las Vegas, NV 89086 Phone: 702-791-9000
Laurier Joseph Tremblay Jr., M.D. Surgery Medicare: Medicare Enrolled Practice Location: 6900 Pecos Rd, Va Hospital, Department Of Surgery, North Las Vegas, NV 89086 Phone: 702-791-9000
Dr. Vicente D. Narciso, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 7368 Night Heron Way, Ward 3c, North Las Vegas, NV 89084 Phone: 702-638-0099 Fax: 702-638-0099
Luis Panuncialman, M.D.,F.A.C.S. Surgery Medicare: Medicare Enrolled Practice Location: 6900 Pecos Rd, North Las Vegas, NV 89086 Phone: 702-791-9000 Fax: 702-791-9110
Dr. Issa Seyed Mirmehdi, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6900 N Pecos Rd Ste 3b226, North Las Vegas, NV 89086 Phone: 702-791-9000

Theodore Potruch, MD - Medicare Surgery in North Las Vegas, NV