| Dr Ronald Edwin Mattison, MD | |
|
6005 Park Ave, Suite 700, Memphis, TN 38119-5202 | |
| (901) 527-3391 | |
| Not Available |
| Full Name | Dr Ronald Edwin Mattison |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 32 Years |
| Location | 6005 Park Ave, Memphis, Tennessee |
| 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 |
|---|---|---|---|
| 1396723748 | NPI | - | NPPES |
| 135084 | Other | IL | HAMP |
| 3932056 | Other | IL | BCBS |
| 869299 | Other | IL | HEALTHLINK |
| 036118070 | Medicaid | IL | |
| 7210895 | Other | IL | AETNA |
| 320875 | Other | IL | GHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 048275 (Georgia) | Secondary |
| 208600000X | Surgery | 036118870 (Illinois) | Secondary |
| 208600000X | Surgery | 45847 (Tennessee) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Wellstar Paulding Hospital | Hiram, GA | Hospital |
| Wellstar Kennestone Hospital | Marietta, GA | Hospital |
| Wellstar Douglas Hospital | Douglasville, GA | Hospital |
| Wellstar Cobb Hospital | Austell, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Philip Israel Breast Center Pc | 9931180098 | 4 |
| Entity Name | The Philip Israel Breast Center Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942310917 PECOS PAC ID: 9931180098 Enrollment ID: O20040526000224 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Ronald Edwin Mattison, MD 6005 Park Ave, Suite 700, Memphis, TN 38119-5202 Ph: (901) 527-3391 | Dr Ronald Edwin Mattison, MD 6005 Park Ave, Suite 700, Memphis, TN 38119-5202 Ph: (901) 527-3391 |
Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867 | |
Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525 | |
Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929 | |
Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203 | |
Dr. Christine T Mroz, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969 | |
Miriam Wing San Tsao, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1211 Union Ave Suite 300, Memphis, TN 38104 Phone: 901-516-0792 Fax: 901-266-6415 | |
Dr. Jonathan J Ellichman, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 6401 Poplar Ave Ste 410, Memphis, TN 38119 Phone: 901-259-2718 Fax: 901-259-1123 |