| Stephany Khalil Matta, MD | |
|
198 Charlton Rd, Sturbridge, MA 01566-1571 | |
| (508) 347-7585 | |
| Not Available |
| Full Name | Stephany Khalil Matta |
|---|---|
| Gender | Female |
| Speciality | Endocrinology |
| Experience | 13 Years |
| Location | 198 Charlton Rd, Sturbridge, Massachusetts |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518334515 | NPI | - | NPPES |
| 110117231A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | 1017403 (Massachusetts) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Harrington Memorial Hospital-1 | Southbridge, MA | Hospital |
| Umass Memorial Medical Center/university Campus | Worcester, MA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Umass Memorial Medical Group Inc | 4284539891 | 2486 |
| Entity Name | Umass Memorial Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760445373 PECOS PAC ID: 4284539891 Enrollment ID: O20040113000267 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephany Khalil Matta, MD Po Box 415348, Boston, MA 02241-5348 Ph: (800) 225-8885 | Stephany Khalil Matta, MD 198 Charlton Rd, Sturbridge, MA 01566-1571 Ph: (508) 347-7585 |
Dr. David Michael Erani, M.D. Endocrinology, Diabetes & Metabolism Medicare: Medicare Enrolled Practice Location: 128 Main St, Suite 2, Sturbridge, MA 01566 Phone: 508-347-7585 Fax: 508-347-7538 | |
Dr. Mark M. Yun, MD Endocrinology, Diabetes & Metabolism Medicare: Accepting Medicare Assignments Practice Location: 198 Charlton Rd, Sturbridge, MA 01566 Phone: 508-765-7878 |