| 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 |
| Experience | 12 Years |
| Location | 800 Riverside Dr, Waupaca, Wisconsin |
| 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 |
|---|---|---|---|
| 1871913947 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 21320 (Wisconsin) | Primary |
| 207P00000X | Emergency Medicine | R1833 (Texas) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Lodi Memorial | Lodi, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Team Physicians Of California Medical Group Inc | 8224945084 | 84 |
| Entity Name | Team Physicians Of California Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447288345 PECOS PAC ID: 8224945084 Enrollment ID: O20040920000880 |
| 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: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Dr. Ismail A Dania, MD Emergency Medicine Medicare: Accepting Medicare Assignments 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: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 | |
Jennifer Marie Bahr, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 800 Riverside Dr, Waupaca, WI 54981 Phone: 715-258-1000 Fax: 715-258-1153 | |
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 |