Dr Ilya Latyshenko, MD | |
36000 Darnall Loop, Attn: Mcxi-dem, Fort Hood, TX 76544-5095 | |
(254) 288-8303 | |
(254) 286-7055 |
Full Name | Dr Ilya Latyshenko |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 36000 Darnall Loop, Fort Hood, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1881031243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | 2018-00158 (North Carolina) | Primary |
Entity Name | The Carolinas Emergency Group, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477508836 PECOS PAC ID: 2567486814 Enrollment ID: O20060125000577 |
Entity Name | Western Carolina Emergency Physicians, Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134391758 PECOS PAC ID: 8921171190 Enrollment ID: O20080721000746 |
Entity Name | Robeson Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801375373 PECOS PAC ID: 3870846934 Enrollment ID: O20181019001201 |
Mailing Address | Practice Location Address |
---|---|
Dr Ilya Latyshenko, MD 36000 Darnall Loop, Attn:mcxi-dem, Fort Hood, TX 76544-5095 Ph: (254) 288-8303 | Dr Ilya Latyshenko, MD 36000 Darnall Loop, Attn: Mcxi-dem, Fort Hood, TX 76544-5095 Ph: (254) 288-8303 |
Danielle Marie Pesce, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36000 Darnall Loop, Dem Box 31, Fort Hood, TX 76544 Phone: 254-288-8303 Fax: 254-286-7055 | |
Brandon Matthew Oswald, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 254-288-8000 | |
Dr. Derek R Linklater, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 254-493-4472 Fax: 512-710-1314 | |
Hugh Merrigan Hiller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 254-553-4614 | |
Ryan Derrah, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 36065 Santa Fe Ave, Fort Hood, TX 76544 Phone: 503-539-6893 | |
Jason E Christensen, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 36000 Darnall Loop Box 31, Fort Hood, TX 76544 Phone: 254-288-8303 Fax: 254-286-7055 | |
Sammy Taha, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 36065 Santa Fe Ave, Attn: Residency Center, Er Box 276, Fort Hood, TX 76544 Phone: 254-553-4614 |