| Mr James P Matteson, PA | |
|
1141 N Monroe Dr, Xenia, OH 45385-1619 | |
| (937) 372-8011 | |
| Not Available |
| Full Name | Mr James P Matteson |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 1141 N Monroe Dr, Xenia, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427048180 | NPI | - | NPPES |
| 0075462 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | 50000486 (Ohio) | Secondary |
| 363A00000X | Physician Assistant | 50.000486 (Ohio) | Primary |
| Entity Name | Emergency Medicine Specialists Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588640791 PECOS PAC ID: 7315851359 Enrollment ID: O20031114000252 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James P Matteson, PA 3131 Newmark Dr Ste 220, Miamisburg, OH 45342-5400 Ph: (937) 436-4658 | Mr James P Matteson, PA 1141 N Monroe Dr, Xenia, OH 45385-1619 Ph: (937) 372-8011 |
Stephanie Ann Keener, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 36 N Detroit St Ste 105, Xenia, OH 45385 Phone: 937-610-4673 |
Miss Jill Alison Conkle, PHYSICIAN ASSISTANT Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1141 N Monroe Dr, Xenia, OH 45385 Phone: 937-372-3638 Fax: 937-372-3642 |
Mr. Forrest T Fornash, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 215 S Allison Ave, Xenia, OH 45385 Phone: 937-903-1868 |
Jaylin Walker, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2066 W Main St Ste 130, Xenia, OH 45385 Phone: 937-372-7583 |
Morgan A Reagans, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 426 N Detroit St, Xenia, OH 45385 Phone: 937-376-4396 Fax: 937-376-4397 |
Emily Malsch, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 2066 W Main St Ste 130, Xenia, OH 45385 Phone: 937-372-7583 |
Patrice Christie, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 244 Wilson Dr, Xenia, OH 45385 Phone: 937-372-1602 Fax: 937-372-0154 |