| Michael John Mattingly, DO | |
|
1000 Harrington Blvd, Mt Clemens, MI 48043 | |
| (586) 493-8000 | |
| Not Available |
| Full Name | Michael John Mattingly |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 1000 Harrington Blvd, Mt Clemens, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588607964 | NPI | - | NPPES |
| MM013572 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101013572 (Michigan) | Primary |
| Entity Name | Macomb Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609235217 PECOS PAC ID: 4284931130 Enrollment ID: O20160321002257 |
| Entity Name | Observation Physicians Of Macomb Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144855941 PECOS PAC ID: 5395166482 Enrollment ID: O20200527002714 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael John Mattingly, DO 8573 Reliable Parkway, Chicago, IL 60686 Ph: (866) 898-7139 | Michael John Mattingly, DO 1000 Harrington Blvd, Mt Clemens, MI 48043 Ph: (586) 493-8000 |
Glenn A Delong, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington Blvd, Mt Clemens, MI 48043 Phone: 586-493-8000 | |
Richard A Reidy, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington Blvd, Mt Clemens, MI 48043 Phone: 586-493-8000 | |
William Birol Halacoglu, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington Blvd, Mt Clemens, MI 48043 Phone: 586-493-8000 | |
Ali Mohammed Saad, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington Blvd, Mt Clemens Regional Medical Center, Mt Clemens, MI 48043 Phone: 586-493-8000 | |
James M Larkin, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington Blvd, Mt Clemens, MI 48043 Phone: 586-493-8000 | |
Michael Warren Tawney, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington Blvd, Mt Clemens, MI 48043 Phone: 586-493-8000 |