| Matthew Jon Lelegren, MD | |
|
206 S Stratford Ave Ste A, Santa Maria, CA 93454-5901 | |
| (805) 928-5767 | |
| (805) 349-0222 |
| Full Name | Matthew Jon Lelegren |
|---|---|
| Gender | Male |
| Speciality | Otolaryngology |
| Experience | 7 Years |
| Location | 206 S Stratford Ave Ste A, Santa Maria, 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 |
|---|---|---|---|
| 1508361296 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Y00000X | Otolaryngology | 2023-01466 (North Carolina) | Secondary |
| 207Y00000X | Otolaryngology | A194090 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marian Regional Medical Center | Santa maria, CA | Hospital |
| French Hospital Medical Center | San luis obispo, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Central Coast Otolaryngology | 2769521178 | 3 |
| Entity Name | Pacific Central Coast Health Centers |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063496651 PECOS PAC ID: 9739091364 Enrollment ID: O20031103000443 |
| Entity Name | Central Coast Otolaryngology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427382811 PECOS PAC ID: 2769521178 Enrollment ID: O20091124000624 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Jon Lelegren, MD 206 S Stratford Ave Ste A, Santa Maria, CA 93454-5901 Ph: (805) 928-5767 | Matthew Jon Lelegren, MD 206 S Stratford Ave Ste A, Santa Maria, CA 93454-5901 Ph: (805) 928-5767 |
Dr. Raymund J Llaurado, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 220 S Palisade Dr, Suite 102, Santa Maria, CA 93454 Phone: 805-922-6641 Fax: 805-922-5927 | |
Garabed Messrobain, MD Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 116 S Palisade Dr, Ste 206, Santa Maria, CA 93454 Phone: 805-347-9992 Fax: 805-614-9260 | |
Richard P Wikholm, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 116 S Palisade Dr, Ste 206, Santa Maria, CA 93454 Phone: 805-614-9250 Fax: 805-614-9260 |