| Mia M Mathewson, MD | |
|
575 Professional Dr, Ste 165, Lawrenceville, GA 30046-3333 | |
| (770) 277-3056 | |
| (855) 204-5244 |
| Full Name | Mia M Mathewson |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 575 Professional Dr, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194947630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 077658 (Georgia) | Primary |
| 207LP3000X | Anesthesiology - Pediatric Anesthesiology | N4578 (Texas) | Secondary |
| Entity Name | Ect Anesthesia Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467980706 PECOS PAC ID: 8628493947 Enrollment ID: O20200804001998 |
| Mailing Address | Practice Location Address |
|---|---|
| Mia M Mathewson, MD Po Box 551420, Fort Lauderdale, FL 33355-1420 Ph: (800) 243-3839 | Mia M Mathewson, MD 575 Professional Dr, Ste 165, Lawrenceville, GA 30046-3333 Ph: (770) 277-3056 |
Dr. Robert E Black Iii, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Dr. Craig M Spector, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30045 Phone: 770-963-9905 | |
Dr. Tao Hong, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-1000 | |
Dr. Nazanin Jafarian, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Dr. Jeffrey N Gladstein, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 770-277-3056 Fax: 855-204-5244 | |
Dr. Eric Benjamin Brown, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 713-822-2421 | |
Dr. Ankita Satpute, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1000 Medical Center Blvd, Lawrenceville, GA 30046 Phone: 678-312-1000 |