| Matthew Paul Kiczek, DO | |
|
600 N Wolfe St, Baltimore, MD 21287 | |
| (410) 955-5000 | |
| Not Available |
| Full Name | Matthew Paul Kiczek |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 12 Years |
| Location | 600 N Wolfe St, Baltimore, Maryland |
| 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 |
|---|---|---|---|
| 1467794446 | NPI | - | NPPES |
| H87203 | Other | MD | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085N0700X | Radiology - Neuroradiology | H87203 (Maryland) | Secondary |
| 2085R0202X | Radiology - Diagnostic Radiology | H87203 (Maryland) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Cleveland Clinic | Cleveland, OH | Hospital |
| Hillcrest Hospital | Mayfield heights, OH | Hospital |
| Cleveland Clinic Avon Hospital | Avon, OH | Hospital |
| Fairview Hospital | Cleveland, OH | Hospital |
| Medina Hospital | Medina, OH | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cleveland Clinic | 1850203555 | 6184 |
| Clinic Medical Services Company, Llc | 5698674653 | 229 |
| Wooster Clinic Llc | 6800708124 | 367 |
| Entity Name | The Cleveland Clinic Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679525919 PECOS PAC ID: 1850203555 Enrollment ID: O20031103000049 |
| Entity Name | Wooster Clinic Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033135009 PECOS PAC ID: 6800708124 Enrollment ID: O20031211000578 |
| Entity Name | Clinic Medical Services Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528013984 PECOS PAC ID: 5698674653 Enrollment ID: O20040108000271 |
| Entity Name | Cleveland Clinic Nevada |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538302377 PECOS PAC ID: 9537219431 Enrollment ID: O20120703000378 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew Paul Kiczek, DO 9910 Franklin Square Dr # 2110, Baltimore, MD 21236-4902 Ph: (410) 933-6421 | Matthew Paul Kiczek, DO 600 N Wolfe St, Baltimore, MD 21287 Ph: (410) 955-5000 |
Dr. Barun Aryal, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 3001 S Hanover St, Dept Of Internal Medicine, Baltimore, MD 21225 Phone: 410-350-3565 Fax: 410-354-0186 | |
Imran Ahmed, D.O Radiology Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Dept Of Radiology, Baltimore, MD 21201 Phone: 410-328-3477 | |
Philip Reed Wills Mcdonagh Iii, MD, PHD Radiology Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Baltimore, MD 21201 Phone: 410-328-6080 | |
Michael Goldman, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 301 Saint Paul Pl, Radiology Dept, Baltimore, MD 21202 Phone: 410-332-9266 Fax: 410-545-4255 | |
Dr. Jeffrey R. Galvin, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Dept Of Radiology, Baltimore, MD 21201 Phone: 410-328-3477 | |
Martin Auster, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 4940 Eastern Ave, Baltimore, MD 21224 Phone: 410-550-0214 | |
Amy K Pepperney, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 7253 Ambassador Rd, Baltimore, MD 21244 Phone: 443-436-1151 Fax: 443-436-1256 |