| Michael S Mattia, MD | |
|
1000 Oakland Dr, Kalamazoo, MI 49008-1282 | |
| (269) 349-2641 | |
| Not Available |
| Full Name | Michael S Mattia |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 1000 Oakland Dr, Kalamazoo, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619536331 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 72256 (Minnesota) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | 4351045469 (Michigan) | Secondary |
| Entity Name | The Duluth Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902563638 PECOS PAC ID: 2567374283 Enrollment ID: O20031103000229 |
| Entity Name | Deer River Healthcare Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225049018 PECOS PAC ID: 1850388448 Enrollment ID: O20040427000428 |
| Entity Name | Essentia Health Virginia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1083617120 PECOS PAC ID: 7810149002 Enrollment ID: O20130306000467 |
| Mailing Address | Practice Location Address |
|---|---|
| Michael S Mattia, MD 400 E 3rd St, Duluth, MN 55805-1951 Ph: (218) 786-8364 | Michael S Mattia, MD 1000 Oakland Dr, Kalamazoo, MI 49008-1282 Ph: (269) 349-2641 |
Dr. James Lewis Hunt, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1820 Shaffer St, Kalamazoo, MI 49048 Phone: 269-381-7136 Fax: 269-381-6665 | |
Kari Beth Watts, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-4400 | |
Gabriella Palmitessa, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 6565 W Main St, Kalamazoo, MI 49009 Phone: 269-375-0400 Fax: 269-372-8484 | |
Ferris Alkazir, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1535 Gull Rd, Kalamazoo, MI 49048 Phone: 269-345-1161 | |
Ayomide Awodeji, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1000 Oakland Dr, Kalamazoo, MI 49008 Phone: 269-337-4600 | |
Katherine Alizo, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8088 Vineyard Pkwy, Kalamazoo, MI 49009 Phone: 269-286-7090 | |
Lauren Piper, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 117 W Paterson St, Kalamazoo, MI 49007 Phone: 269-349-2641 |