| Michael D Matherlee, MD | |
|
12454 Hartley St, Stony Creek, VA 23882-3302 | |
| (434) 246-6100 | |
| (434) 246-6137 |
| Full Name | Michael D Matherlee |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 26 Years |
| Location | 12454 Hartley St, Stony Creek, Virginia |
| 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 |
|---|---|---|---|
| 1164493813 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 0101230392 (Virginia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| At Home Care | Richmond, VA | Home health agency |
| Amedisys Home Health | Midlothian, VA | Home health agency |
| Southside Regional Home Health | Petersburg, VA | Home health agency |
| Southern Virginia Regional Home Health | Emporia, VA | Home health agency |
| Southside Regional Medical Center | Petersburg, VA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Stony Creek Community Health Center | 5395710057 | 3 |
| Entity Name | Stony Creek Community Health Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376515031 PECOS PAC ID: 5395710057 Enrollment ID: O20040827000163 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael D Matherlee, MD 12454 Hartley St, Stony Creek, VA 23882-3302 Ph: (434) 246-6100 | Michael D Matherlee, MD 12454 Hartley St, Stony Creek, VA 23882-3302 Ph: (434) 246-6100 |
Malalai Azmi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12454 Hartley St, Stony Creek, VA 23882 Phone: 434-246-6100 Fax: 434-246-6614 |