| Usa Vascular Center Of Decatur Llc | |
|
495 Winn Way Ste 230 Decatur GA 30030-1736 | |
| (847) 593-8460 | |
| Not Available |
| Full Name | Usa Vascular Center Of Decatur Llc |
|---|---|
| Speciality | Surgery |
| Location | 495 Winn Way Ste 230, Decatur, Georgia |
| Authorized Official Name and Position | Yan Katsnelson (CEO/PRESIDENT) |
| Authorized Official Contact | 2243180118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Usa Vascular Center Of Decatur Llc Po Box 1602 Northbrook IL 60065-1602 Ph: (847) 593-8460 | Usa Vascular Center Of Decatur Llc 495 Winn Way Ste 230 Decatur GA 30030-1736 Ph: (847) 593-8460 |
| NPI Number | 1487133278 |
|---|---|
| Provider Enumeration Date | 08/13/2018 |
| Last Update Date | 10/06/2025 |
| Medicare PECOS PAC ID | 1052665957 |
|---|---|
| Medicare Enrollment ID | O20181113000567 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487133278 | NPI | - | NPPES |
| Provider Name | Gregory L Erdelyan |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1295786234 PECOS PAC ID: 5395643407 Enrollment ID: I20031230000515 |
| Provider Name | Michael H Lebow |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1447410949 PECOS PAC ID: 1759458748 Enrollment ID: I20080917000076 |
| Provider Name | Walaya C Methodius-rayford |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1407091499 PECOS PAC ID: 7416013545 Enrollment ID: I20090225000568 |
| Provider Name | Kanye Willis |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1437350527 PECOS PAC ID: 6103941620 Enrollment ID: I20140513002136 |
| Provider Name | Yan Katsnelson |
|---|---|
| Provider Type | Practitioner - Vascular Surgery |
| Provider Identifiers | NPI Number: 1285672840 PECOS PAC ID: 4284609413 Enrollment ID: I20150601000594 |
| Provider Name | Sachin Sheth |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1730341710 PECOS PAC ID: 1254611189 Enrollment ID: I20161209001113 |
| Provider Name | Wan-lin Horng |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1619037405 PECOS PAC ID: 6406953702 Enrollment ID: I20250128001013 |
| Provider Name | Michael R Todd |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1366404600 PECOS PAC ID: 9234149204 Enrollment ID: I20250417002939 |
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