Matthew J Kettman, MD | |
110 Plaza Cir Ste A, Waterloo, IA 50701-5139 | |
(319) 236-7720 | |
Not Available |
Full Name | Matthew J Kettman |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 25 Years |
Location | 110 Plaza Cir Ste A, Waterloo, Iowa |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245218882 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 33683 (Iowa) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Cedar Valley Hospice | Waterloo, IA | Hospice |
Allen Hospital | Waterloo, IA | Hospital |
Waverly Health Center | Waverly, IA | Hospital |
Mercyone Waterloo Medical Center | Waterloo, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Cedar Valley Medical Specialists Pc | 1759291487 | 100 |
Entity Name | Cedar Valley Medical Specialists Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1497794242 PECOS PAC ID: 1759291487 Enrollment ID: O20031208000462 |
Mailing Address | Practice Location Address |
---|---|
Matthew J Kettman, MD Po Box 2758, Waterloo, IA 50704-2758 Ph: (319) 235-5390 | Matthew J Kettman, MD 110 Plaza Cir Ste A, Waterloo, IA 50701-5139 Ph: (319) 236-7720 |
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