| Alex Mathew Jr, | |
|
30 N 4th St, Lebanon, PA 17046-5606 | |
| (717) 270-1949 | |
| Not Available |
| Full Name | Alex Mathew Jr |
|---|---|
| Gender | Male |
| Speciality | Hospitalist |
| Experience | 7 Years |
| Location | 30 N 4th St, Lebanon, Pennsylvania |
| 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 |
|---|---|---|---|
| 1306310644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208M00000X | Hospitalist | 313748 (New York) | Secondary |
| 207Q00000X | Family Medicine | MT217168 (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Peter's Hospital | Albany, NY | Hospital |
| Samaritan Hospital | Troy, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| St Peters Hospital Of The City Of Albany | 2668460072 | 224 |
| Samaritan Hospital Of Troy, New York | 6507770070 | 200 |
| Entity Name | Samaritan Hospital Of Troy, New York |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043267727 PECOS PAC ID: 6507770070 Enrollment ID: O20031118000782 |
| Entity Name | St Peters Hospital Of The City Of Albany |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518042357 PECOS PAC ID: 2668460072 Enrollment ID: O20040504001301 |
| Mailing Address | Practice Location Address |
|---|---|
| Alex Mathew Jr, 30 N 4th St, Lebanon, PA 17046-5606 Ph: () - | Alex Mathew Jr, 30 N 4th St, Lebanon, PA 17046-5606 Ph: (717) 270-1949 |
Mansey Varghese, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 30 N 4th St, Lebanon, PA 17046 Phone: 717-274-0474 | |
Mrs. Heather Heck, CRNP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Cornwal Road, Lebanon, PA 17042 Phone: 717-675-1780 | |
Anthony Lal, Family Medicine Medicare: Medicare Enrolled Practice Location: 30 N 4th St, Lebanon, PA 17046 Phone: 717-274-0474 | |
Saba Sarfraz, Family Medicine Medicare: Medicare Enrolled Practice Location: 30 N 4th St, Lebanon, PA 17046 Phone: 717-274-0474 Fax: 717-274-0673 | |
Ilham Ahmed Umar, Family Medicine Medicare: Medicare Enrolled Practice Location: 30 N 4th St, Lebanon, PA 17046 Phone: 717-274-0474 | |
Robert Greville Brummett, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 855 Tuck St, Suite 1, Lebanon, PA 17042 Phone: 717-273-5395 | |
Wray Anthony Gerard, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 4th & Walnut St, Good Samaritan Hospital, Lebanon, PA 17042 Phone: 717-270-7740 Fax: 717-270-3877 |