Ivan E Montalvo-otano, MD | |
830 Washington St, Watertown, NY 13601-4034 | |
(315) 785-4313 | |
(315) 779-5114 |
Full Name | Ivan E Montalvo-otano |
---|---|
Gender | Male |
Speciality | Anesthesiology - Pain Medicine |
Location | 830 Washington St, Watertown, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184660789 | NPI | - | NPPES |
02098319 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 218973 (New York) | Secondary |
207LP2900X | Anesthesiology - Pain Medicine | 218973 (New York) | Primary |
Entity Name | Samaritan Medical Center |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1598713745 PECOS PAC ID: 8123914876 Enrollment ID: O20040227000525 |
Mailing Address | Practice Location Address |
---|---|
Ivan E Montalvo-otano, MD 830 Washington St, Watertown, NY 13601-4034 Ph: (315) 785-4313 | Ivan E Montalvo-otano, MD 830 Washington St, Watertown, NY 13601-4034 Ph: (315) 785-4313 |
Dr. Diemthuy Nancy Nguyen, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4313 | |
Irvin Rafael Sanchez, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 826 Washington St Fl 3, Watertown, NY 13601 Phone: 603-361-9051 | |
Dr. David R. Smith, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-4313 Fax: 315-779-5114 | |
Lawrence M Littell, DO, PHD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 18564 Us Route 11, Suite 2, Watertown, NY 13601 Phone: 315-786-0464 Fax: 315-782-2577 | |
Dr. Erlinda P Vidal, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-8509 Fax: 315-785-8619 | |
Jarmila Slezkova, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 830 Washington St, Watertown, NY 13601 Phone: 315-785-8509 Fax: 315-785-8619 |