| Dr Louis Dembrun Matherne Iv, MD | |
|
4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | |
| (813) 264-6490 | |
| (813) 443-8143 |
| Full Name | Dr Louis Dembrun Matherne Iv |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 14 Years |
| Location | 4211 Van Dyke Rd Ste 200, Lutz, Florida |
| 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 |
|---|---|---|---|
| 1346534849 | NPI | - | NPPES |
| 104739400 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 51640 (Kentucky) | Secondary |
| 208600000X | Surgery | ME141420 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| St Josephs Hospital | Tampa, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Baycare Medical Group, Inc. | 6406753623 | 1356 |
| Entity Name | Baycare Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Louis Dembrun Matherne Iv, MD 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 Ph: (813) 264-6490 | Dr Louis Dembrun Matherne Iv, MD 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 Ph: (813) 264-6490 |
Dr. Quan Dinh Tran, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4211 Vandyke Road, Suite 200, Lutz, FL 33558 Phone: 813-264-6490 Fax: 813-321-1878 | |
Andres Vidovich-ortiz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 19105 N Us Highway 41, Suite 300, Lutz, FL 33549 Phone: 813-866-1959 Fax: 813-866-1957 | |
Dr. Forrest C. Haslup, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4211 Vandyke Road, Suite 200, Lutz, FL 33558 Phone: 813-264-6490 Fax: 813-321-1878 | |
Dr. Bill E Barry, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4211 Vandyke Road, Suite 200, Lutz, FL 33558 Phone: 813-264-6490 Fax: 813-321-1878 | |
Koji Honda, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 19105 N Us Highway 41, Suite 300, Lutz, FL 33549 Phone: 813-866-1959 Fax: 813-866-1957 | |
John B Roach Jr., D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 17723 Hunting Bow Cir, Suite 101, Lutz, FL 33558 Phone: 813-528-8744 Fax: 813-528-8791 |