| Dr Matthew T Langenberg, MD | |
|
520 Mary St, Ste 520, Evansville, IN 47710 | |
| (812) 424-8231 | |
| (812) 435-8794 |
| Full Name | Dr Matthew T Langenberg |
|---|---|
| Gender | Male |
| Speciality | Vascular Surgery |
| Experience | 26 Years |
| Location | 520 Mary St, Evansville, Indiana |
| 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 |
|---|---|---|---|
| 1407845159 | NPI | - | NPPES |
| 7100229330 | Medicaid | KY | |
| 000000978343 | Other | IN | ANTHEM BLUE CROSS BLUE SHIELD |
| 201332370 | Medicaid | IN | |
| XXXXXXXXX001 | Medicaid | IL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0129X | Surgery - Vascular Surgery | 01075972A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Firelands Regional Medical Center | Sandusky, OH | Hospital |
| Magruder Hospital | Port clinton, OH | Hospital |
| Bellevue Hospital | Bellevue, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Firelands Regional Medical Center | 6103734645 | 26 |
| North Coast Professional Company, Llc | 6305810201 | 83 |
| Entity Name | Firelands Regional Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801884655 PECOS PAC ID: 6103734645 Enrollment ID: O20040415000236 |
| Entity Name | North Coast Professional Company, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881648210 PECOS PAC ID: 6305810201 Enrollment ID: O20040825001179 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Matthew T Langenberg, MD 520 Mary St Ste 520, Evansville, IN 47710-1682 Ph: (812) 424-8231 | Dr Matthew T Langenberg, MD 520 Mary St, Ste 520, Evansville, IN 47710 Ph: (812) 424-8231 |
Dawn M Burgess, RNFA Surgery Medicare: Not Enrolled in Medicare Practice Location: 2701 Lincoln Ave, Evansville, IN 47714 Phone: 812-476-4400 Fax: 812-476-0300 | |
Dr. Santi Vibul, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 520 Mary St, Suite 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8782 | |
Dr. Samir K. Gupta, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 | |
Dr. Anthony David Kaiser, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 | |
Dr. Brian W Schymik, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 | |
Dr. Prasad V Gade, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 520 Mary St Ste 520, Evansville, IN 47710 Phone: 812-424-8231 Fax: 812-435-8794 | |
Dr. Katherine Mckenna Kottwitz, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 111 S Green River Rd Ste F, Evansville, IN 47715 Phone: 812-436-1203 |