| Michelle A Matlock, PA-C | |
|
2600 N Limestone St Ste 150, Springfield, OH 45503-1120 | |
| (937) 523-9980 | |
| (937) 523-9985 |
| Full Name | Michelle A Matlock |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2600 N Limestone St Ste 150, Springfield, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952600801 | NPI | - | NPPES |
| 0073726 | Medicaid | OH | |
| PA38161 | Other | OH | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 50003242 (Ohio) | Primary |
| Entity Name | University of Cincinnati Physicians Company LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123 |
| Entity Name | Alliance Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437125572 PECOS PAC ID: 0840104360 Enrollment ID: O20031118000529 |
| Entity Name | Premier Health Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194958223 PECOS PAC ID: 5597708594 Enrollment ID: O20050610000010 |
| Entity Name | Deanna J Chapman DPM, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649223819 PECOS PAC ID: 4688695828 Enrollment ID: O20051215000101 |
| Entity Name | Kettering Independent Medical Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629387865 PECOS PAC ID: 3173710936 Enrollment ID: O20101207000425 |
| Entity Name | CG Medical Associates Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982903951 PECOS PAC ID: 6608052196 Enrollment ID: O20110518000216 |
| Entity Name | Mercy Health Physicians Springfield Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790308104 PECOS PAC ID: 4284059981 Enrollment ID: O20200728003692 |
| Entity Name | Mercy Health Physicians North Specialty Care LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306468418 PECOS PAC ID: 1951707884 Enrollment ID: O20210901001534 |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle A Matlock, PA-C 2600 N Limestone St Ste 150, Springfield, OH 45503-1120 Ph: (937) 523-9980 | Michelle A Matlock, PA-C 2600 N Limestone St Ste 150, Springfield, OH 45503-1120 Ph: (937) 523-9980 |
Jeremy Washington, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 100 Medical Center Dr, Springfield, OH 45504 Phone: 937-523-1461 Fax: 937-523-1590 |
Gregory Elton Mann, MPAS, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2600 N Limestone St, Springfield, OH 45503 Phone: 937-523-9850 |
Travis B Wilson, P.A. Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 140 W Main St, Suite 100, Springfield, OH 45502 Phone: 937-398-1066 Fax: 937-398-1076 |
Leanne Margaret Casserlie, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 30 W Mccreight Ave Ste 106, Springfield, OH 45504 Phone: 937-523-9885 Fax: 937-523-9886 |
Ragen Elizabeth Engel, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3250 Middle Urbana Rd, Springfield, OH 45502 Phone: 937-399-7777 |
Chloe Wise, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1108 Vester Ave, Springfield, OH 45503 Phone: 937-399-7100 Fax: 937-399-7355 |
Aaron Joseph Jolliff, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 100 Medical Center Dr, Emergency Department, Springfield, OH 45504 Phone: 937-523-1461 |