| Dr Mathew Glen Krista, MD | |
|
4126 West Main Street, Dothan, AL 36305-9310 | |
| (334) 793-2120 | |
| (334) 671-0228 |
| Full Name | Dr Mathew Glen Krista |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 30 Years |
| Location | 4126 West Main Street, Dothan, Alabama |
| 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 |
|---|---|---|---|
| 1093779738 | NPI | - | NPPES |
| 000799664B | Medicaid | GA | |
| 1756539 | Medicaid | LA | |
| 51515842 | Other | AL | BC BS OF AL |
| 06009894 | Medicaid | MS | |
| P00055578 | Other | RAILROAD MEDICARE | |
| 051515842 | Medicaid | AL | |
| 255415100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 32247 (Kentucky) | Secondary |
| 207P00000X | Emergency Medicine | 21833 (Alabama) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Flowers Hospital | Dothan, AL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fmg Primecare Llc | 7012283864 | 9 |
| Entity Name | Houston County Healthcare Authority |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1619026606 PECOS PAC ID: 9436062296 Enrollment ID: O20040219000209 |
| Entity Name | Southern Alabama Physicians, Llp |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467701490 PECOS PAC ID: 0345499562 Enrollment ID: O20121003000896 |
| Entity Name | Fmg Primecare Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427578228 PECOS PAC ID: 7012283864 Enrollment ID: O20171023000535 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mathew Glen Krista, MD Po Box 6599, Dothan, AL 36302-6599 Ph: (334) 793-2120 | Dr Mathew Glen Krista, MD 4126 West Main Street, Dothan, AL 36305-9310 Ph: (334) 793-2120 |
Jeffrey William Allman, D.O. Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 4370 W Main St, Dothan, AL 36305 Phone: 334-793-5000 Fax: 334-615-8419 | |
Dr. Patrick William Jones, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8911 | |
Jesse Bryan Basford, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Cir, Emergency Department, Dothan, AL 36301 Phone: 334-793-8111 | |
James C Jones, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191 | |
Rick Marcus Weber, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1052 Ross Clark Circle, Dothan, AL 36303 Phone: 334-699-3600 Fax: 334-699-3601 | |
David W Williams, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1108 Ross Clark Cir, Dothan, AL 36301 Phone: 334-793-8087 Fax: 334-793-8191 |