Matthew Sean Elitt, MD | |
1000 Wall St, Ann Arbor, MI 48105-1912 | |
(734) 764-4190 | |
Not Available |
Full Name | Matthew Sean Elitt |
---|---|
Gender | Male |
Speciality | Ophthalmology |
Location | 1000 Wall St, Ann Arbor, Michigan |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1972133262 | NPI | - | NPPES |
200085161 | Medicaid | MO |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207W00000X | Ophthalmology | 2022002887 (Missouri) | Secondary |
207W00000X | Ophthalmology | 4301513988 (Michigan) | Primary |
Entity Name | Washington University |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013957562 PECOS PAC ID: 9830008770 Enrollment ID: O20040607000203 |
Mailing Address | Practice Location Address |
---|---|
Matthew Sean Elitt, MD 3621 S State St, Ann Arbor, MI 48108-1633 Ph: (734) 647-5299 | Matthew Sean Elitt, MD 1000 Wall St, Ann Arbor, MI 48105-1912 Ph: (734) 764-4190 |
Said M Issa, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 2900 Golfside Dr, Suite 2, Ann Arbor, MI 48108 Phone: 313-724-2733 Fax: 313-724-2456 | |
Jill Elizabeth Bixler, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1000 Wall Street, Ann Arbor, MI 48105 Phone: 734-764-4190 | |
Paul P Lee, Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1000 Wall Street, Ann Arbor, MI 48105 Phone: 734-764-4190 | |
Monte Anthony Delmonte, MD Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1000 Wall St, Ann Arbor, MI 48105 Phone: 734-764-4190 | |
Denise Ann-marie John, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1000 Wall Street, Ann Arbor, MI 48105 Phone: 734-764-4190 | |
Brittany A Simmons, M.D. Ophthalmology Medicare: Accepting Medicare Assignments Practice Location: 1000 Wall St, Ann Arbor, MI 48105 Phone: 734-764-4190 | |
Alexander Valentine, MD Ophthalmology Medicare: Medicare Enrolled Practice Location: 1000 Wall St, Ann Arbor, MI 48105 Phone: 734-763-8122 |