| Michael Mattin, | |
|
2142 N Cove Blvd, Toledo, OH 43606-3895 | |
| (419) 291-4101 | |
| Not Available |
| Full Name | Michael Mattin |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 28 Years |
| Location | 2142 N Cove Blvd, Toledo, Ohio |
| 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 |
|---|---|---|---|
| 1770546780 | NPI | - | NPPES |
| 4429911 | Medicaid | MI | |
| 727147 | Other | OH | BCHP |
| 2196967 | Medicaid | OH | |
| 341960760039 | Other | OH | CARESOURCE |
| 000000372956 | Other | OH | ANTHEM |
| 000000271444 | Other | OH | ANTHEM |
| 810547599034 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 35-07-6913 (Ohio) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Promedica Toledo Hospital | Toledo, OH | Hospital |
| Charlevoix Area Hospital | Charlevoix, MI | Hospital |
| Promedica Monroe Regional Hospital | Monroe, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Hawk Emergency Group, P.c. | 6800241050 | 55 |
| Joint Township District Memorial Hospital | 3870491590 | 40 |
| Observation Physicians Of Northwest Ohio Llc | 7416365630 | 39 |
| Emergency Physicians Of Northwest Ohio, Inc. | 3375456478 | 102 |
| Entity Name | Emergency Physicians Of Northwest Ohio, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043274418 PECOS PAC ID: 3375456478 Enrollment ID: O20190904001095 |
| Entity Name | Hawk Emergency Group, P.c. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073295135 PECOS PAC ID: 6800241050 Enrollment ID: O20231009002612 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael Mattin, 6896 W Snowville Rd, Brecksville, OH 44141-3214 Ph: () - | Michael Mattin, 2142 N Cove Blvd, Toledo, OH 43606-3895 Ph: (419) 291-4101 |
Dr. Nathaniel Westphal, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2142 N Cove Boulevard, Department Of Anesthesia Toledo Critical Care, Toledo, OH 43604 Phone: 419-291-1111 Fax: 419-479-3253 | |
Dr. Anthony Joseph Dolney, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 2213 Cherry St, Acc Trauma Clinic, Toledo, OH 43608 Phone: 419-251-4724 | |
Dr. Daniel Eid, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2109 Hughes Dr, Toledo, OH 43606 Phone: 419-383-5478 | |
Katherine Elizabeth Kluesner, DO Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232 | |
Khalid Mohamad Miri, OMS IV Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2142 N Cove Blvd, Toledo, OH 43606 Phone: 419-291-4000 | |
Kevin M Casey, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 2213 Cherry St, Toledo, OH 43608 Phone: 419-251-3232 | |
Bonaventure C. Okoro, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 5542 Airport Hwy, Toledo, OH 43615 Phone: 734-464-0887 Fax: 734-402-0254 |