| Dr Matthew J Mick, MD | |
|
6175 Riverlake Blvd, Bartow, FL 33830-7754 | |
| (414) 559-2141 | |
| (863) 646-7292 |
| Full Name | Dr Matthew J Mick |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Interventional Cardiology |
| Location | 6175 Riverlake Blvd, Bartow, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700886660 | NPI | - | NPPES |
| 009939093 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 35056 (Wisconsin) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | 00027578 (Alabama) | Primary |
| Entity Name | Cardiovascular Consultants Of Montana, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427295757 PECOS PAC ID: 4082770631 Enrollment ID: O20090305000302 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew J Mick, MD 6175 Riverlake Blvd, Bartow, FL 33830-7754 Ph: (414) 559-2141 | Dr Matthew J Mick, MD 6175 Riverlake Blvd, Bartow, FL 33830-7754 Ph: (414) 559-2141 |
Alexis Silva-vega, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2020 Flamingo Dr, Bartow, FL 33830 Phone: 863-533-4104 Fax: 863-553-4549 | |
Sylvana Salama, Internal Medicine Medicare: Medicare Enrolled Practice Location: 2200 Osprey Blvd, Bartow, FL 33830 Phone: 863-733-4381 Fax: 863-229-7581 | |
Dr. Ernest Edward Gilmore Iii, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2250 Osprey Blvd Ste 102, Bartow, FL 33830 Phone: 863-533-1448 Fax: 863-533-2189 | |
Dr. Alicia S Saunders, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2020 Flamingo Dr, Bartow, FL 33830 Phone: 863-533-4104 Fax: 863-533-4549 |