Dr Jan E Mathisen, MD | |
1940 Elmer J Bissell Rd, Suite C, Birmingham, AL 35243-2941 | |
(205) 638-5860 | |
(205) 638-5879 |
Full Name | Dr Jan E Mathisen |
---|---|
Gender | Male |
Speciality | Pediatric Medicine |
Experience | 43 Years |
Location | 1940 Elmer J Bissell Rd, Birmingham, Alabama |
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 |
---|---|---|---|
1275687766 | NPI | - | NPPES |
8804680 | Medicaid | AL | |
18033 | Other | AL | BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 11165 (Alabama) | Secondary |
2084N0402X | Psychiatry & Neurology - Neurology With Special Qualifications In Child Neurology | 11165 (Alabama) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
The Children's Hospital Of Alabama | Birmingham, AL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Alabama Health Services Foundation, Pc | 1951213107 | 2328 |
Entity Name | University Of Alabama Health Services Foundation, Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093768723 PECOS PAC ID: 1951213107 Enrollment ID: O20031105000261 |
Mailing Address | Practice Location Address |
---|---|
Dr Jan E Mathisen, MD 1940 Elmer J Bissell Rd, Suite C, Birmingham, AL 35243-2941 Ph: (205) 638-5860 | Dr Jan E Mathisen, MD 1940 Elmer J Bissell Rd, Suite C, Birmingham, AL 35243-2941 Ph: (205) 638-5860 |
Rayford W Thweatt, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-6600 | |
Marla B Morgan, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 619 19th Street South, Birmingham, AL 35233 Phone: 205-934-6600 | |
Robins J Newton, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 2700 10th Ave S Ste 400, Birmingham, AL 35205 Phone: 205-918-0507 Fax: 205-930-2716 | |
Mohamed Kazamel, Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 1717 6th Ave S, Birmingham, AL 35233 Phone: 800-822-8816 | |
Dr. Rodney K Swillie, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 3686 Grandview Pkwy Ste 600, Birmingham, AL 35243 Phone: 205-971-3600 Fax: 844-772-0468 | |
Sandra L Frazier, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 619 19t Street South, Birmingham, AL 35233 Phone: 205-934-6600 | |
Michael Alonzo Lopez, M.D., PH.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 1600 6th Ave S # Chb314, Birmingham, AL 35233 Phone: 205-996-7850 |