Anil Matta, MD | |
501 Keyser Ave, Natchitoches, LA 71457-6018 | |
(318) 214-4401 | |
(318) 214-4493 |
Full Name | Anil Matta |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 26 Years |
Location | 501 Keyser Ave, Natchitoches, Louisiana |
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 |
---|---|---|---|
1871795674 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD.201438 (Louisiana) | Secondary |
208M00000X | Hospitalist | MD.201438 (Louisiana) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Kindred At Home | Coushatta, LA | Home health agency |
Natchitoches Regional Medical Center | Natchitoches, LA | Hospital |
Sabine Medical Center | Many, LA | Hospital |
Courtyard Of Natchitoches | Natchitoches, LA | Nursing home |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Matta Medical Clinic Llc | 0749533396 | 2 |
Natchitoches Parish Hospital Service District | 2163322140 | 4 |
Nes Louisiana Inc | 5496651002 | 12 |
Entity Name | Natchitoches Parish Hospital Service District |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669542346 PECOS PAC ID: 2163322140 Enrollment ID: O20040113000736 |
Entity Name | Nes Louisiana Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1669922431 PECOS PAC ID: 5496651002 Enrollment ID: O20161116002239 |
Entity Name | Matta Medical Clinic Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881174027 PECOS PAC ID: 0749533396 Enrollment ID: O20181029000900 |
Mailing Address | Practice Location Address |
---|---|
Anil Matta, MD Po Box 2009, Natchitoches, LA 71457-2009 Ph: (318) 214-4401 | Anil Matta, MD 501 Keyser Ave, Natchitoches, LA 71457-6018 Ph: (318) 214-4401 |