Daniel T Matulich, MD | |
1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405-4801 | |
(707) 552-1573 | |
Not Available |
Full Name | Daniel T Matulich |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 1165 Montgomery Dr, Santa Rosa, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043254600 | NPI | - | NPPES |
00G486620 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | G48662 (California) | Primary |
Entity Name | Lakeline Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316426505 PECOS PAC ID: 7214281492 Enrollment ID: O20181107002405 |
Entity Name | Round Rock Emergency Physicians Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902264963 PECOS PAC ID: 0648524306 Enrollment ID: O20181119001606 |
Entity Name | Lake Travis Emergency Physicians Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1851803688 PECOS PAC ID: 7315291929 Enrollment ID: O20181120000263 |
Mailing Address | Practice Location Address |
---|---|
Daniel T Matulich, MD 1165 Montgomery Dr, Santa Rosa, CA 95405-4801 Ph: () - | Daniel T Matulich, MD 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405-4801 Ph: (707) 552-1573 |
Barry Smith, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: Santa Rosa Memorial Hospital, 1165 Montgomery Drive, Santa Rosa, CA 95405 Phone: 707-522-1573 | |
Dr. Ridgely Oliver Muller, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa, CA 95405 Phone: 707-525-5207 Fax: 626-397-5643 | |
John Tate Higgins, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-393-4044 | |
James John Mc Keith, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, Santa Rosa Memorial Hospital, Santa Rosa, CA 95405 Phone: 707-525-5207 | |
Christina Marie Goodwin, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1165 Montgomery Dr, M/s 1w04, Santa Rosa, CA 95405 Phone: 707-547-5471 Fax: 707-525-5280 | |
Yizza Narvaez, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 401 Bicentennial Way, Santa Rosa, CA 95403 Phone: 707-684-1538 |