I tried to get an appointment with Dr. Laura Gitlin. On a Monday morning I called to verify that she accepted my insurance. Her phone answerer verified but said she could not make appt. unless my PCP referred me. I have PPO insurance and pay up not to have to make office visit for referral, but it appears Dr. Gitlin has a rule that she must review office notes from PCP in order to decide if she will see you. Apparently this is not uncommon for Gastro prima donnas in Las Vegas. However, after a week of trying to work with my PCP, it turns out the same person who verified my insurance is now telling my PCP that Dr. Gitlin does NOT take my insurance. Again, the doctor is only as good as their front line staff, and Dr. Gitlin's staff is incompetent.