| Bryan K Matanky, MD | |
|
1760 E Florence Blvd, Suite 120, Casa Grande, AZ 85222-4764 | |
| (520) 426-1000 | |
| (520) 426-1395 |
| Full Name | Bryan K Matanky |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 38 Years |
| Location | 1760 E Florence Blvd, Casa Grande, Arizona |
| 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 |
|---|---|---|---|
| 1205945482 | NPI | - | NPPES |
| 200018286 | Other | AZ | RR MEDICARE |
| F66298 | Other | AZ | MERCY HEALTH PLANS |
| 0046722 | Other | AZ | DEPT. LABOR |
| 1Z1375 | Other | AZ | HEALTHNET |
| 86-0754243 | Other | AZ | IRS TAX ID |
| 15781901 | Medicaid | AZ | |
| AZ0351140 | Other | AZ | BC/BS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 22110 (Arizona) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Banner Casa Grande Medical Center | Casa grande, AZ | Hospital |
| Arizona Orthopedic And Surgical Specialty Hospital | Chandler, AZ | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Advanced Orthopaedics And Sports Medicine, Pc | 4385558030 | 3 |
| Entity Name | Advanced Orthopaedics And Sports Medicine, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1417066788 PECOS PAC ID: 4385558030 Enrollment ID: O20031117000622 |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan K Matanky, MD 1760 E Florence Blvd, Suite 120, Casa Grande, AZ 85222-4764 Ph: (520) 426-1000 | Bryan K Matanky, MD 1760 E Florence Blvd, Suite 120, Casa Grande, AZ 85222-4764 Ph: (520) 426-1000 |
Dr. Thomas L Erickson, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1780 E Florence Blvd, Suite 106, Casa Grande, AZ 85222 Phone: 520-836-8988 Fax: 520-836-7930 | |
James Andrew Huddleston, DO Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1811 E Mcmurray Blvd, Casa Grande, AZ 85122 Phone: 520-374-6530 |