| Matthew Stephen Booher, MD | |
|
410 Pilgrim Blvd, Hartford City, IN 47348-1382 | |
| (765) 348-0300 | |
| (317) 963-5492 |
| Full Name | Matthew Stephen Booher |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 7 Years |
| Location | 410 Pilgrim Blvd, Hartford City, 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 |
|---|---|---|---|
| 1154989929 | NPI | - | NPPES |
| 300062202 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 01087572A (Indiana) | Primary |
| 207P00000X | Emergency Medicine | 4351045260 (Michigan) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Indiana University Health North Hospital | Carmel, IN | Hospital |
| Indiana University Health | Indianapolis, IN | Hospital |
| Iu Health Jay | Portland, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iu Health Medical Group Llc | 9638617913 | 4382 |
| Entity Name | Indiana University Health Care Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955 |
| Entity Name | Iu Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326893777 PECOS PAC ID: 9638617913 Enrollment ID: O20240817000533 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Stephen Booher, MD 250 N Shadeland Ave, Indianapolis, IN 46219-4959 Ph: Not Available | Matthew Stephen Booher, MD 410 Pilgrim Blvd, Hartford City, IN 47348-1382 Ph: (765) 348-0300 |
Syed Asad Hussain, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 Pilgrim Blvd, Hartford City, IN 47348 Phone: 765-348-0300 Fax: 317-963-5492 |