| Eric V A Matlock, DO | |
|
901 E 5th St, Medical Staff Office, Washington, MO 63090-3127 | |
| (636) 239-8231 | |
| (636) 239-9890 |
| Full Name | Eric V A Matlock |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 23 Years |
| Location | 901 E 5th St, Washington, Missouri |
| 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 |
|---|---|---|---|
| 1093788762 | NPI | - | NPPES |
| P00769834 | Other | MO | RAILROAD MEDICARE |
| 1093788762 | Medicaid | MO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 2005011343 (Missouri) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Lutheran Convalescent Home | Webster groves, MO | Nursing home |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Generation Clinical Partners Llc | 1557687803 | 21 |
| Pai Participant 1 Llc | 8123351954 | 139 |
| Entity Name | Mercy Clinic Adult Hospitalists - Washington, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891943429 PECOS PAC ID: 3577630540 Enrollment ID: O20080917000782 |
| Entity Name | Mercy Clinic Adult Hospitalists Jefferson Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083052492 PECOS PAC ID: 8628205598 Enrollment ID: O20131220001798 |
| Entity Name | Mercy Hospital Lincoln |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962808733 PECOS PAC ID: 5193040020 Enrollment ID: O20150623002541 |
| Entity Name | Pai Participant 1 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093371312 PECOS PAC ID: 8123351954 Enrollment ID: O20210503000979 |
| Mailing Address | Practice Location Address |
|---|---|
| Eric V A Matlock, DO Po Box 502852, Saint Louis, MO 63150-2852 Ph: (314) 364-4200 | Eric V A Matlock, DO 901 E 5th St, Medical Staff Office, Washington, MO 63090-3127 Ph: (636) 239-8231 |
Katarzyna Anne Kohler, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 901 Patients First Dr, Suite 1200, Washington, MO 63090 Phone: 636-390-1777 Fax: 636-390-1778 | |
Jean Kirsten Hertz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 209 Rand St, Washington, MO 63090 Phone: 636-390-2149 Fax: 636-390-9369 | |
Dr. Rajasekhar Reddy Bhoda, M.D Family Medicine Medicare: Medicare Enrolled Practice Location: 901 E 5th St, Washington, MO 63090 Phone: 636-239-8231 | |
Amy L Couch, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr, Suite 1200, Washington, MO 63090 Phone: 636-390-1777 | |
Alissa Nadia Galas, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 901 Patients First Dr Ste 2100 & 2200, Washington, MO 63090 Phone: 636-239-7500 | |
Mr. Todd Martin Craig, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 851 E 5th St, Suite 200, Washington, MO 63090 Phone: 636-239-8656 Fax: 636-239-8553 |