Andrew Jeffrey Matisoff, MD | |
3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 | |
(512) 454-2554 | |
Not Available |
Full Name | Andrew Jeffrey Matisoff |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Location | 3705 Medical Pkwy, Austin, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1871795120 | NPI | - | NPPES |
230573 | Other | NC | MEDICARE GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | N0956 (Texas) | Primary |
Entity Name | Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912939703 PECOS PAC ID: 0244143170 Enrollment ID: O20031107000130 |
Entity Name | Outpatient Anesthesia Services Of Reston, Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376654434 PECOS PAC ID: 2769479880 Enrollment ID: O20040429000429 |
Entity Name | Capitol Anesthesia Associates Ltd |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194106955 PECOS PAC ID: 3274848320 Enrollment ID: O20150818005376 |
Entity Name | Medstar Medical Group Anesthesiology Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528578333 PECOS PAC ID: 1052678034 Enrollment ID: O20171129001837 |
Entity Name | Anesthesia Company Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1871548156 PECOS PAC ID: 4587559026 Enrollment ID: O20180522001908 |
Mailing Address | Practice Location Address |
---|---|
Andrew Jeffrey Matisoff, MD 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 Ph: (512) 454-2554 | Andrew Jeffrey Matisoff, MD 3705 Medical Pkwy, Suite 570, Austin, TX 78705-1019 Ph: (512) 454-2554 |
Dr. John W Wages, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 4100 Duval Rd, Bldg Iii Suite 200, Austin, TX 78759 Phone: 512-485-7200 Fax: 512-485-7224 | |
Allison Rae Losey, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2554 | |
Dr. James Patrick Fogarty Jr., M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 8140 N Mopac Expy Ste 3-210, Austin, TX 78759 Phone: 512-343-2292 | |
Vijay K. Ravula, M.D. Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Gary L. Mihm, M.D. Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 919 E 32nd St, Austin, TX 78705 Phone: 512-476-7111 | |
Todd Paricio, M.D Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3801 N Lamar Blvd, Austin, TX 78756 Phone: 512-407-8444 Fax: 512-407-8097 | |
Dr. Rebecca R Porras, MD Anesthesiology Medicare: Medicare Enrolled Practice Location: 3705 Medical Pkwy, Suite 570, Austin, TX 78705 Phone: 512-454-2454 Fax: 512-454-1532 |