Dr Matthew M Kershisnik, MD is a
Pathology - Anatomic Pathology & Clinical Pathology physician based in Logan, Utah. Dr Matthew M Kershisnik is licensed to practice in Utah (license number 1831351205) and his current practice location is 1400 N 500 E, Logan, Utah. He can be reached at his office (for appointments etc.) via phone at
(435) 716-5375.
NPI number for Dr Matthew M Kershisnik is 1851363600 and his current mailing address is Po Box 30309, Charleston, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851363600.
Physician's Profile
| Full Name | Dr Matthew M Kershisnik |
|---|
| Gender | Male |
|---|
| Speciality | Pathology - Anatomic Pathology & Clinical Pathology |
|---|
| Location | 1400 N 500 E, Logan, Utah |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1851363600
- Provider Enumeration Date: 02/06/2006
- Last Update Date: 04/20/2008
Medical Identifiers
Medical identifiers for Dr Matthew M Kershisnik such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851363600 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | 1831351205 (Utah) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matthew M Kershisnik is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Matthew M Kershisnik, MD
Po Box 30309,
Charleston, SC 29417-0309
Ph: (843) 554-9300 | Dr Matthew M Kershisnik, MD
1400 N 500 E,
Logan, UT 84341-2455
Ph: (435) 716-5375 |
Reviews and Comments