| Matthew Kilthau, MD | |
|
956 Walnut St Ste 200e, San Luis Obispo, CA 93401-1707 | |
| (805) 203-6474 | |
| (877) 219-0743 |
| Full Name | Matthew Kilthau |
|---|---|
| Gender | Male |
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 956 Walnut St Ste 200e, San Luis Obispo, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831456151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | A146050 (California) | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 276841 (New York) | Secondary |
| Entity Name | The Unity Hospital Of Rochester |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760421713 PECOS PAC ID: 9436060969 Enrollment ID: O20031230000038 |
| Entity Name | Blanton-peale Institute |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225195787 PECOS PAC ID: 9234020330 Enrollment ID: O20040319001568 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Kilthau, MD 956 Walnut St Ste 200e, San Luis Obispo, CA 93401-1707 Ph: (805) 203-6474 | Matthew Kilthau, MD 956 Walnut St Ste 200e, San Luis Obispo, CA 93401-1707 Ph: (805) 203-6474 |
Jason Don Crowley, M.D., M.P.H. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 2178 Johnson Ave, San Luis Obispo, CA 93401 Phone: 805-903-1905 | |
Helen Vafaie, DO Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 75 Benton Way, San Luis Obispo, CA 93405 Phone: 440-732-1089 | |
Peter F. Afsari, D.O. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1039 Murray Ave Ste 220, San Luis Obispo, CA 93405 Phone: 805-250-2996 Fax: 805-250-2998 | |
Henry Abdel Malek, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Cmc At Highway 1, San Luis Obispo, CA 93409 Phone: 805-547-7900 | |
Dr. Daniel Wayne Olivieri, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 964 Chorro St, Suite 2, San Luis Obispo, CA 93401 Phone: 805-543-3232 Fax: 805-547-1772 | |
Barbara Jean Williams, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: Hwy 1, Ca Mens Colony Psychiatry Dept, San Luis Obispo, CA 93409 Phone: 805-547-7900 | |
John Jacob Cannell, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 1411 Marsh St Ste 203, San Luis Obispo, CA 93401 Phone: 805-439-2569 Fax: 805-439-1073 |