Toms P Mathew, MD is a
Internal Medicine physician based in New Boston, Michigan. Toms P Mathew is licensed to practice in Michigan (license number 4301058860) and his current practice location is 19270 Hannan Rd, New Boston, Michigan. He can be reached at his office (for appointments etc.) via phone at
(734) 753-4350.
NPI number for Toms P Mathew is 1417912742 and his current mailing address is 19270 Hannan Rd, Po Box 725, New Boston, Michigan. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1417912742.
Physician's Profile
| Full Name | Toms P Mathew |
|---|
| Gender | Male |
|---|
| Speciality | Internal Medicine |
|---|
| Location | 19270 Hannan Rd, New Boston, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1417912742
- Provider Enumeration Date: 04/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Toms P Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417912742 | NPI | - | NPPES |
| 1108287352 | Other | MI | BCBS |
| 4095933 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 4301058860 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Toms P Mathew is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Toms P Mathew, MD
19270 Hannan Rd, Po Box 725,
New Boston, MI 48164-9811
Ph: (734) 753-4350 | Toms P Mathew, MD
19270 Hannan Rd,
New Boston, MI 48164-9811
Ph: (734) 753-4350 |
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