| Stanley Anthony Materka, DO | |
|
1000 Harrington Blvd, Mt Clemens, MI 48043 | |
| (586) 493-8000 | |
| Not Available |
| Full Name | Stanley Anthony Materka |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 46 Years |
| Location | 1000 Harrington Blvd, Mt Clemens, Michigan |
| 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 |
|---|---|---|---|
| 1932294881 | NPI | - | NPPES |
| 0155000555 | Other | MI | BCBS |
| 111389975 | Medicaid | MI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 5101007669 (Michigan) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mclaren Macomb | Mount clemens, MI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Macomb Emergency Physicians Pllc | 4284931130 | 19 |
| Entity Name | Macomb Emergency Physicians Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609235217 PECOS PAC ID: 4284931130 Enrollment ID: O20160321002257 |
| Entity Name | Observation Physicians Of Macomb Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1144855941 PECOS PAC ID: 5395166482 Enrollment ID: O20200527002714 |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Anthony Materka, DO Po Box 8836, Grand Rapids, MI 49518 Ph: (866) 898-7139 | Stanley Anthony Materka, DO 1000 Harrington Blvd, Mt Clemens, MI 48043 Ph: (586) 493-8000 |
Glenn A Delong, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington Blvd, Mt Clemens, MI 48043 Phone: 586-493-8000 | |
Richard A Reidy, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington Blvd, Mt Clemens, MI 48043 Phone: 586-493-8000 | |
William Birol Halacoglu, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington Blvd, Mt Clemens, MI 48043 Phone: 586-493-8000 | |
Michael John Mattingly, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Harrington Blvd, Mt Clemens, MI 48043 Phone: 586-493-8000 | |
Ali Mohammed Saad, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington Blvd, Mt Clemens Regional Medical Center, Mt Clemens, MI 48043 Phone: 586-493-8000 | |
James M Larkin, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington Blvd, Mt Clemens, MI 48043 Phone: 586-493-8000 | |
Michael Warren Tawney, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Harrington Blvd, Mt Clemens, MI 48043 Phone: 586-493-8000 |