| Dr Matthew Julian Wideroff, MD | |
|
61 Memorial Medical Pkwy Ste 3805, Palm Coast, FL 32164-5982 | |
| (386) 586-1605 | |
| (386) 586-1607 |
| Full Name | Dr Matthew Julian Wideroff |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 16 Years |
| Location | 61 Memorial Medical Pkwy Ste 3805, Palm Coast, 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 |
|---|---|---|---|
| 1134448129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | ME167382 (Florida) | Primary |
| 208600000X | Surgery | 9934 (South Dakota) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Florida Hospital Flagler | Palm coast, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Florida Hospital Healthcare Partners, Inc | 7012266836 | 510 |
| Entity Name | Memorial Hospital Flagler Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679678486 PECOS PAC ID: 1759371594 Enrollment ID: O20040514000202 |
| Entity Name | Florida Hospital Healthcare Partners, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780100529 PECOS PAC ID: 7012266836 Enrollment ID: O20180831000335 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew Julian Wideroff, MD Po Box 935921, Atlanta, GA 31193-5921 Ph: () - | Dr Matthew Julian Wideroff, MD 61 Memorial Medical Pkwy Ste 3805, Palm Coast, FL 32164-5982 Ph: (386) 586-1605 |
Dr. John J Cascone, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy, Suite 3805, Palm Coast, FL 32164 Phone: 386-586-1605 Fax: 386-586-1607 | |
Dr. Abubaker Ahmed Ali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 1-800a, Palm Coast, FL 32164 Phone: 386-302-1366 | |
Dr. Alfred Lewis Alson, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 28 Old Kings Rd N, Palm Coast, FL 32137 Phone: 386-445-0554 Fax: 386-445-5242 | |
Steven C. Bower, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy, Suite 3807, Palm Coast, FL 32164 Phone: 386-586-1780 Fax: 386-586-1781 | |
John Alan Walsh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 14 Office Park Dr Ste 7, Palm Coast, FL 32137 Phone: 386-302-5064 Fax: 386-302-5093 | |
Jessica Lynn Marshall, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3 Adventhealth Way Ste 201, Palm Coast, FL 32137 Phone: 386-586-1840 Fax: 386-586-1841 |