| Dr Matthew Douglass Longacre, MD | |
|
1200 N State St, Los Angeles, CA 90033-1029 | |
| (323) 264-7600 | |
| Not Available |
| Full Name | Dr Matthew Douglass Longacre |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 17 Years |
| Location | 1200 N State St, Los Angeles, California |
| 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 |
|---|---|---|---|
| 1750608303 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | A111961 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| White Memorial Medical Center | Los angeles, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Eastside Orthopedic Medical Associates | 1254340524 | 5 |
| Kevin J Pelton Md Inc | 3375625486 | 34 |
| Entity Name | Eastside Orthopedic Medical Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235210089 PECOS PAC ID: 1254340524 Enrollment ID: O20060413000585 |
| Entity Name | Kevin J Pelton Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679771703 PECOS PAC ID: 3375625486 Enrollment ID: O20080129000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Douglass Longacre, MD 1700 E Cesar E Chavez Ave Ste 2200, Los Angeles, CA 90033-2476 Ph: () - | Dr Matthew Douglass Longacre, MD 1200 N State St, Los Angeles, CA 90033-1029 Ph: (323) 264-7600 |
Dr. Lucille Chaille, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 1200 N State St, Los Angeles, CA 90033 Phone: 323-226-2170 Fax: 323-226-5760 | |
Gabriel Josef Bouz, Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 2025 Zonal Ave # Gnh3900, Los Angeles, CA 90089 Phone: 323-409-7409 | |
Erin Meisel, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1200 N State St, Gnh 3900, Los Angeles, CA 90033 Phone: 323-226-7210 | |
Micah Paul Adamson, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 100 Ucla Medical Plz Ste 755, Los Angeles, CA 90024 Phone: 310-319-1234 | |
Dr. Steven Lawrence Zeitzew, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 8113 1/2 Melrose Ave, Los Angeles, CA 90046 Phone: 323-852-1259 Fax: 323-852-1259 | |
Dr. William T Long, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1300 N Vermont Ave Ste 100, Los Angeles, CA 90027 Phone: 323-913-4300 | |
Kathleen Rose Savage, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1700 E Cesar E Chavez Ave, Suite 2200, Los Angeles, CA 90033 Phone: 323-264-7600 Fax: 323-261-8027 |