| Stephen Michael Matlock, | |
|
7901 W 135th St, Overland Park, KS 66223 | |
| (913) 451-7546 | |
| (913) 663-2411 |
| Full Name | Stephen Michael Matlock |
|---|---|
| Gender | Male |
| Speciality | Dermatology |
| Experience | 3 Years |
| Location | 7901 W 135th St, Overland Park, Kansas |
| 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 |
|---|---|---|---|
| 1811494727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ND0101X | Dermatology - Mohs-micrographic Surgery | 04-46232 (Kansas) | Secondary |
| 207N00000X | Dermatology | 04-46232 (Kansas) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Dermatology And Skin Cancer Specialists Llc | 5294721486 | 42 |
| Dermatology And Skin Cancer Specialists Llc | 5294721486 | 42 |
| Entity Name | Dermatology And Skin Cancer Specialists Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205880846 PECOS PAC ID: 5294721486 Enrollment ID: O20050721001106 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen Michael Matlock, 7901 W 135th St, Overland Park, KS 66223-1201 Ph: (913) 451-7546 | Stephen Michael Matlock, 7901 W 135th St, Overland Park, KS 66223 Ph: (913) 451-7546 |
Madison Faddis, DNP, FNP-C Dermatology Medicare: Accepting Medicare Assignments Practice Location: 8505 College Blvd, Overland Park, KS 66210 Phone: 913-541-3230 | |
Dr. Carol Foulds, M.D. Dermatology Medicare: Not Enrolled in Medicare Practice Location: 6730 W 121st St, Overland Park, KS 66209 Phone: 913-387-1120 Fax: 913-387-1120 | |
Dr. Amy Jiayue Petty, MD, PHD Dermatology Medicare: Medicare Enrolled Practice Location: 10740 Nall Ave # Level3, Overland Park, KS 66211 Phone: 913-588-1227 Fax: 913-588-8761 | |
Reba Suri, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11520 W 119th St, Overland Park, KS 66213 Phone: 913-232-9372 Fax: 913-344-3665 | |
Dr. Lisa Marie Morris, MD Dermatology Medicare: Medicare Enrolled Practice Location: 10740 Nall Ave, Overland Park, KS 66211 Phone: 913-588-1227 | |
Meena Kumari Singh, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 11520 West 119th Street, Overland Park, KS 66213 Phone: 913-232-9372 Fax: 913-344-3665 | |
Jeffery Justin Graves, MD Dermatology Medicare: Accepting Medicare Assignments Practice Location: 7901 W 135th St, Overland Park, KS 66223 Phone: 913-451-7546 Fax: 913-663-2411 |