| Dr Matt Daniel Slatalla, MD | |
|
55 Fruit Street, Cln 309 Anesthesia Associates, Boston, MA 02114-2696 | |
| (617) 665-1630 | |
| (617) 665-1091 |
| Full Name | Dr Matt Daniel Slatalla |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 28 Years |
| Location | 55 Fruit Street, Boston, Massachusetts |
| 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 |
|---|---|---|---|
| 1851364939 | NPI | - | NPPES |
| 209222 | Other | MA | TUFTS HEALTH PLAN |
| J24069 | Other | MA | BCBS MA |
| 0196037 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 209222 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Martha's Vineyard Hospital Inc | Oak bluffs, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Martha's Vineyard Hospital Inc | 9931166113 | 106 |
| Entity Name | Anaesthesia Associates Of Massachusetts, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568415289 PECOS PAC ID: 5193611267 Enrollment ID: O20040225000842 |
| Entity Name | Pratt Anesthesiology Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326085390 PECOS PAC ID: 0547151151 Enrollment ID: O20040323001056 |
| Entity Name | Martha's Vineyard Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194866210 PECOS PAC ID: 9931166113 Enrollment ID: O20041220000589 |
| Entity Name | Dha Endoscopy Llc |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1730113325 PECOS PAC ID: 4082614979 Enrollment ID: O20061227000026 |
| Entity Name | Dha Endoscopy Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851921555 PECOS PAC ID: 4082614979 Enrollment ID: O20201201000565 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matt Daniel Slatalla, MD Po Box 9142, Mass General Physician Organization, Charlestown, MA 02129-9142 Ph: (617) 724-0287 | Dr Matt Daniel Slatalla, MD 55 Fruit Street, Cln 309 Anesthesia Associates, Boston, MA 02114-2696 Ph: (617) 665-1630 |
Stephen G. Flynn, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 300 Longwood Ave, Boston, MA 02115 Phone: 617-355-6000 | |
Dr. Dusan Hanidziar, M.D., PH.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Gray-bigelow 444, Boston, MA 02114 Phone: 617-726-3030 | |
Dr. Michael Christopher Lubrano, M.D., M.P.H. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 75 Francis St, Boston, MA 02115 Phone: 617-732-8210 | |
Vahid Kiarad, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Boston, MA 02215 Phone: 617-667-7000 | |
Kendrick M Shaw, MD, PHD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 Phone: 617-726-3030 | |
Dr. Matthew James Heron, MBBS Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 330 Brookline Ave, Department Of Anesthesia, Boston, MA 02215 Phone: 617-667-3112 Fax: 617-754-8791 | |
Dr. David Joswick, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 Washington St, Boston, MA 02111 Phone: 617-636-5000 |