| Matthew Panicker, DO | |
|
1000 Harrington St, Mount Clemens, MI 48043-2920 | |
| (586) 493-8000 | |
| Not Available |
| Full Name | Matthew Panicker |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 4 Years |
| Location | 1000 Harrington St, Mount Clemens, 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 |
|---|---|---|---|
| 1639811151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 0102209431 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sentara Princess Anne Hospital | Virginia beach, VA | Hospital |
| Sentara Obici Hospital | Suffolk, VA | Hospital |
| Sentara Leigh Hospital | Norfolk, VA | Hospital |
| Sentara Norfolk General Hospital | Norfolk, VA | Hospital |
| Sentara Virginia Beach General Hospital | Virginia beach, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Emergency Physicians Of Tidewater | 5092618462 | 167 |
| Entity Name | Emergency Physicians of Tidewater |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033136841 PECOS PAC ID: 5092618462 Enrollment ID: O20040202000195 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Panicker, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-8000 | Matthew Panicker, DO 1000 Harrington St, Mount Clemens, MI 48043-2920 Ph: (586) 493-8000 |
Abira Mumtaz, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 |
Ayesha Jawed Ghumra, Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 |
Dr. Vasudevarao Mandava, M.D Internal Medicine Medicare: Medicare Enrolled Practice Location: 18 Market St, Suite C, Mount Clemens, MI 48043 Phone: 586-783-2222 Fax: 586-783-6280 |
Japjit Kaur Serai, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 |
Haditya Behl, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-8000 |
Robert A Chang, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 133 S Main St, Mount Clemens, MI 48043 Phone: 586-468-1600 Fax: 586-465-0329 |
Misha Kaur Chowdhary, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington St, Mount Clemens, MI 48043 Phone: 586-493-3727 |