| Matthew S Mallard, MD | |
|
1600 Sw Archer Rd, Gainesville, FL 32610-5665 | |
| (352) 273-8610 | |
| Not Available |
| Full Name | Matthew S Mallard |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 7 Years |
| Location | 1600 Sw Archer Rd, Gainesville, Florida |
| 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 |
|---|---|---|---|
| 1669032082 | NPI | - | NPPES |
| 118706100 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | LL82869 (South Carolina) | Secondary |
| 207L00000X | Anesthesiology | ME162398 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Of Illinois Hospital | Chicago, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| The Board Of Trustees Of The University Of Illinois | 3072422716 | 1058 |
| Entity Name | The Board Of Trustees Of The University Of Illinois |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386863819 PECOS PAC ID: 3072422716 Enrollment ID: O20031112000158 |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew S Mallard, MD 701 Grove Rd Fl 3, Greenville, SC 29605-4295 Ph: (864) 455-1435 | Matthew S Mallard, MD 1600 Sw Archer Rd, Gainesville, FL 32610-5665 Ph: (352) 273-8610 |
Dr. William Brit Smith, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 Fax: 352-265-6922 | |
Kyndal Smith, Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0111 | |
Dr. Tessa Elisabeth Baumgardner, DO Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-265-0077 | |
Dr. Timothy Vincent Feldheim, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8610 Fax: 352-273-8612 | |
Spencer Moreland, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-7986 | |
Jeffrey David White, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8610 | |
Dr. Arvin William Trippensee, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1600 Sw Archer Rd, Gainesville, FL 32610 Phone: 352-273-8610 |