| Matthew S Mccarty Md Inc | |
|
1800 Spring Ridge Dr Susanville CA 96130-6100 | |
| (702) 453-3799 | |
| (702) 453-5741 |
| Full Name | Matthew S Mccarty Md Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1800 Spring Ridge Dr, Susanville, California |
| Authorized Official Name and Position | Matthew Stephen Mccarty (PRESIDENT) |
| Authorized Official Contact | 6026861129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew S Mccarty Md Inc Po Box 349 Loma Linda CA 92354-0349 Ph: (702) 453-3799 | Matthew S Mccarty Md Inc 1800 Spring Ridge Dr Susanville CA 96130-6100 Ph: (702) 453-3799 |
| NPI Number | 1780044735 |
|---|---|
| Provider Enumeration Date | 03/03/2016 |
| Last Update Date | 10/17/2017 |
| Medicare PECOS PAC ID | 1456650738 |
|---|---|
| Medicare Enrollment ID | O20170119000033 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780044735 | NPI | - | NPPES |
| Provider Name | Matthew S Mccarty |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992095434 PECOS PAC ID: 2668772344 Enrollment ID: I20170119000165 |
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