Mr Wissam E Mattar, MD | |
9201 E Mountain View Rd Ste 105, Scottsdale, AZ 85258-5140 | |
(480) 587-6614 | |
(480) 882-5809 |
Full Name | Mr Wissam E Mattar |
---|---|
Gender | Male |
Speciality | Internal Medicine - Gastroenterology |
Location | 9201 E Mountain View Rd Ste 105, Scottsdale, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1831358092 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | 59625 (Arizona) | Primary |
Entity Name | Tidalhealth Specialty Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619504735 PECOS PAC ID: 7113340845 Enrollment ID: O20200714000286 |
Mailing Address | Practice Location Address |
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Mr Wissam E Mattar, MD 9201 E Mountain View Rd Ste 105, Scottsdale, AZ 85258-5140 Ph: (480) 587-6614 | Mr Wissam E Mattar, MD 9201 E Mountain View Rd Ste 105, Scottsdale, AZ 85258-5140 Ph: (480) 587-6614 |
Dr. Debjit Saha, MBBS Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Morgan Taylor Reeve, DO Gastroenterology Medicare: Medicare Enrolled Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Dr. Andrew Edward Morrison, DO Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 34597 N 60th St Ste 110, Scottsdale, AZ 85266 Phone: 480-488-8020 Fax: 480-264-6404 | |
Russell S Ruzich, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Dr. Paul Joseph Schenk, M.D. Gastroenterology Medicare: Not Enrolled in Medicare Practice Location: 11230 E Beck Ln, Scottsdale, AZ 85255 Phone: 480-502-9457 | |
Dr. Musab Sultan Hommos, M.B., B.S. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 13400 E Shea Blvd, Scottsdale, AZ 85259 Phone: 480-301-8000 | |
Soyoung Park, M.D. Gastroenterology Medicare: Accepting Medicare Assignments Practice Location: 10460 N 92nd St Ste 300, Scottsdale, AZ 85258 Phone: 480-323-1573 Fax: 480-323-1375 |