| Matthew Michael Fourman, MD | |
|
730 N Macomb St Ste 415, Monroe, MI 48162-2904 | |
| (734) 430-3200 | |
| (734) 430-3201 |
| Full Name | Matthew Michael Fourman |
|---|---|
| Gender | Male |
| Speciality | General Surgery |
| Experience | 22 Years |
| Location | 730 N Macomb St Ste 415, Monroe, Michigan |
| 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 |
|---|---|---|---|
| 1881868347 | NPI | - | NPPES |
| 0067263 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | 35.098301 (Ohio) | Secondary |
| 208600000X | Surgery | 01075147A (Indiana) | Secondary |
| 208600000X | Surgery | 4301083501 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Emma L Bixby Medical Center | Adrian, MI | Hospital |
| Promedica Monroe Regional Hospital | Monroe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Promedica Central Physicians | 2365348190 | 830 |
| Promedica Central Physicians | 2365348190 | 830 |
| Entity Name | Promedica Central Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043270150 PECOS PAC ID: 2365348190 Enrollment ID: O20110310000073 |
| Entity Name | Promedica Monroe Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194078055 PECOS PAC ID: 2365696176 Enrollment ID: O20130201000483 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Michael Fourman, MD 333 N Summit St, Toledo, OH 43604-1531 Ph: (734) 430-3200 | Matthew Michael Fourman, MD 730 N Macomb St Ste 415, Monroe, MI 48162-2904 Ph: (734) 430-3200 |
Dr. Michael Joseph Charboneau Jr., DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 730 N Macomb St, Suite 329, Monroe, MI 48162 Phone: 734-240-5860 Fax: 734-240-5899 | |
William Henry Bell Iii, D.O. Surgery Medicare: Accepting Medicare Assignments Practice Location: 905 North Macomb Street Suite 4, Monroe, MI 48162 Phone: 734-242-7212 Fax: 734-242-7237 |