| Mr Matthew Ralph Matkovich, PA-C | |
|
6051 Tyvola Glen Cir, Charlotte, NC 28217-6431 | |
| (704) 774-6569 | |
| (855) 308-2340 |
| Full Name | Mr Matthew Ralph Matkovich |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Experience | 18 Years |
| Location | 6051 Tyvola Glen Cir, Charlotte, North Carolina |
| 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 |
|---|---|---|---|
| 1356503973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0010-01381 (North Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lamond Family Medicine Pllc | 6103802012 | 49 |
| Entity Name | Lamond Family Medicine PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629037270 PECOS PAC ID: 6103802012 Enrollment ID: O20040629001275 |
| Entity Name | Longevity Clinical Ltc Associates of North Carolina PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154907855 PECOS PAC ID: 3375952559 Enrollment ID: O20210430000235 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Matthew Ralph Matkovich, PA-C Po Box 360, Sylva, NC 28779-0360 Ph: (888) 339-6065 | Mr Matthew Ralph Matkovich, PA-C 6051 Tyvola Glen Cir, Charlotte, NC 28217-6431 Ph: (704) 774-6569 |
Olga Maria Kramer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 3101 Latrobe Dr, Charlotte, NC 28211 Phone: 704-376-7362 Fax: 704-376-1939 |
Mrs. Christine Mccree Patrocinio Massinga, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3250 Wilkinson Blvd, Charlotte, NC 28208 Phone: 704-319-5176 Fax: 980-819-7900 |
Emil Peter Occhiboi, PA-C, ATC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4741 Randolph Rd Ste 100&200, Charlotte, NC 28211 Phone: 704-365-6730 |
Shelda Amilcka, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd Ste 300, Charlotte, NC 28207 Phone: 704-384-6225 Fax: 704-316-3825 |
Ms. Mariah Leigh Rodriguez, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11840 Southmore Dr Ste 100, Charlotte, NC 28277 Phone: 980-308-0169 Fax: 980-308-0173 |
Katherine Michelle Mattingly, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 8201 Healthcare Loop Ste 305, Charlotte, NC 28215 Phone: 980-302-3050 Fax: 980-302-3055 |
Lauren Michelle Ramsey, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1237 Harding Pl, Ste 4300, Charlotte, NC 28204 Phone: 704-373-0212 |