| Matheen Ahmad Mohabbat, MD | |
|
800 Riverside Dr, Waupaca, WI 54981-1943 | |
| (715) 258-1000 | |
| Not Available |
| Full Name | Matheen Ahmad Mohabbat |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 800 Riverside Dr, Waupaca, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871913947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 21320 (Wisconsin) | Primary |
| 207P00000X | Emergency Medicine | R1833 (Texas) | Secondary |
| Entity Name | Third Coast Emergency Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497793475 PECOS PAC ID: 6800794447 Enrollment ID: O20031222000126 |
| Entity Name | Acs Primary Care Physicians Southwest Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538101019 PECOS PAC ID: 1850204363 Enrollment ID: O20041206000027 |
| Entity Name | Concord Medical Group Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
| Entity Name | Concord Medical Group Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
| Entity Name | Guadalupe Emergency Medicine Associates Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114425220 PECOS PAC ID: 0941561781 Enrollment ID: O20180219001747 |
| Mailing Address | Practice Location Address |
|---|---|
| Matheen Ahmad Mohabbat, MD 3 Neenah Ctr, Neenah, WI 54956-3070 Ph: (715) 258-1000 | Matheen Ahmad Mohabbat, MD 800 Riverside Dr, Waupaca, WI 54981-1943 Ph: (715) 258-1000 |
Charles D Washington, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Dr. Logan Robert Gorges, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1042 | |
Michael Andrew Ward, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Jennifer Marie Bahr, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1153 | |
Dr. Amy T Kenworthy, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Dr. Lana L Sanders, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1042 | |
Francesca L Detrana, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1632 |