| Rosamma O Mathew, MD | |
|
2450 Riverside Ave, Minneapolis, MN 55454-1450 | |
| (763) 488-8346 | |
| Not Available |
| Full Name | Rosamma O Mathew |
|---|---|
| Gender | Female |
| Speciality | Anesthesiology |
| Location | 2450 Riverside Ave, Minneapolis, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053369694 | NPI | - | NPPES |
| 104264947 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | 4301058651 (Michigan) | Secondary |
| 207L00000X | Anesthesiology | 74169 (Minnesota) | Primary |
| Entity Name | Metropolitan Anesthesia Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386679868 PECOS PAC ID: 8921077249 Enrollment ID: O20041001000930 |
| Entity Name | Northstar Anesthesia Of Michigan Iii Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
| Entity Name | Mymichigan Medical Center Midland |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649010455 PECOS PAC ID: 2264323633 Enrollment ID: O20240716002337 |
| Mailing Address | Practice Location Address |
|---|---|
| Rosamma O Mathew, MD 1700 University Ave W Fl 6, Saint Paul, MN 55104-3727 Ph: () - | Rosamma O Mathew, MD 2450 Riverside Ave, Minneapolis, MN 55454-1450 Ph: (763) 488-8346 |
Dr. Matthew Larson, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 701 Park Ave # P4, Minneapolis, MN 55415 Phone: 612-873-3000 | |
Vinod Kumar, Anesthesiology Medicare: Medicare Enrolled Practice Location: 420 Delaware Street, Se, B515 Mayo Memorial Building, Minneapolis, MN 55455 Phone: 901-317-2162 | |
Robert E Mcklveen, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Bryce C. Beverlin, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 800 E 28th St, Minneapolis, MN 55407 Phone: 612-871-7639 Fax: 612-872-0302 | |
Nathan Wei-jim Liu, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 420 Delaware St Se, Mmc 195 Mayo, Minneapolis, MN 55455 Phone: 612-625-6483 | |
Dr. Michael H Wall, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 500 Harvard St Se, University Of Minnesota Medical Center, Minneapolis, MN 55455 Phone: 612-273-3000 | |
Kenneth M Kiberenge, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 420 Delaware Street Se Mmc 294, Mmc 294, Minneapolis, MN 55455 Phone: 612-624-2497 |