| Steven Thomas Matthiesen, | |
|
50820 Summit Hill Ct, Shadowfax Anesthesia, Granger, IN 46530-9720 | |
| (312) 415-1137 | |
| Not Available |
| Full Name | Steven Thomas Matthiesen |
|---|---|
| Gender | Male |
| Speciality | Certified Registered Nurse Anesthetist (crna) |
| Experience | 12 Years |
| Location | 50820 Summit Hill Ct, Granger, Indiana |
| 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 |
|---|---|---|---|
| 1841629441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 28212067A (Indiana) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Unity Medical And Surgical Hospital | Mishawaka, IN | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| United Surgeons Llc | 0941260061 | 19 |
| Entity Name | Great Lakes Anesthesia Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720039977 PECOS PAC ID: 0648183442 Enrollment ID: O20031107000452 |
| Entity Name | Saint Joseph Regional Medical Center-south Bend Campus Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1023844693 PECOS PAC ID: 3476451790 Enrollment ID: O20031223000724 |
| Entity Name | Stat Anesthesia Specialists Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699724781 PECOS PAC ID: 8123031473 Enrollment ID: O20070529000372 |
| Entity Name | United Surgeons Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518197011 PECOS PAC ID: 0941260061 Enrollment ID: O20110330000083 |
| Entity Name | Cardinal Anesthesia Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1134570153 PECOS PAC ID: 2668766254 Enrollment ID: O20160804000791 |
| Entity Name | Sda Consultants Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1336605500 PECOS PAC ID: 3870825912 Enrollment ID: O20210819003335 |
| Entity Name | Iceland Anesthesia Management Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912578667 PECOS PAC ID: 7618372996 Enrollment ID: O20210825000860 |
| Entity Name | Jebs Anesthesia Consultants, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790447761 PECOS PAC ID: 4486046646 Enrollment ID: O20220120000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Steven Thomas Matthiesen, 50820 Summit Hill Ct, Shadowfax Anesthesia, Granger, IN 46530-9720 Ph: (312) 415-1137 | Steven Thomas Matthiesen, 50820 Summit Hill Ct, Shadowfax Anesthesia, Granger, IN 46530-9720 Ph: (312) 415-1137 |
Emily Ratkiewicz, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5507 Singer Ct, Granger, IN 46530 Phone: 708-218-0446 |