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

Theodore Potruch, MD is a Surgery physician based in North Las Vegas, Nevada. Theodore Potruch is licensed to practice in Nevada (license number 3310) and his current practice location is 2123 Civic Center Dr, North Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at (702) 333-1110.

NPI number for Theodore Potruch is 1649225293 and his current mailing address is 2123 Civic Center Dr, North Las Vegas, Nevada. He does not participate in medicare program and thus does not accept medicare assignments. 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 NameTheodore Potruch
GenderMale
SpecialitySurgery
Location2123 Civic Center Dr, North Las Vegas, Nevada
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1649225293
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 03/06/2018

Medical Identifiers

Medical identifiers for Theodore Potruch such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1649225293NPI-NPPES
V50306OtherNVMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery 3310 (Nevada)Primary

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 NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice 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


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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.

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