Rosamma O Mathew, MD | |
2333 Biddle Ave, Wyandotte, MI 48192-4668 | |
(734) 324-3697 | |
Not Available |
Full Name | Rosamma O Mathew |
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Gender | Female |
Speciality | Anesthesiology |
Location | 2333 Biddle Ave, Wyandotte, Michigan |
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) | Primary |
Entity Name | Metropolitan Anesthesia Consultants, Pllc |
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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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1972126209 PECOS PAC ID: 7911325469 Enrollment ID: O20200915001990 |
Mailing Address | Practice Location Address |
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Rosamma O Mathew, MD 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: (734) 324-3697 | Rosamma O Mathew, MD 2333 Biddle Ave, Wyandotte, MI 48192-4668 Ph: (734) 324-3697 |
Dr. Sonya Marie Elgammal, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 | |
Francis G Nazareno, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-246-7913 Fax: 734-246-6968 | |
Charles Raymond, M.D. Anesthesiology Medicare: Medicare Enrolled Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-246-7913 Fax: 734-246-6968 | |
Jill E Wiesenberger, D.O. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-246-7913 Fax: 734-246-6968 | |
Jimmy Roger Boutin, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle St, Wyandotte, MI 48192 Phone: 734-246-7913 Fax: 734-246-6968 | |
Timothy Lozon Jr., MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2333 Biddle Ave, Wyandotte, MI 48192 Phone: 734-246-6000 |