Dr Louis Dembrun Matherne Iv, MD | |
4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 | |
(813) 264-6490 | |
(813) 443-8143 |
Full Name | Dr Louis Dembrun Matherne Iv |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 13 Years |
Location | 4211 Van Dyke Rd Ste 200, Lutz, Florida |
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 |
---|---|---|---|
1346534849 | NPI | - | NPPES |
104739400 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 51640 (Kentucky) | Secondary |
208600000X | Surgery | ME141420 (Florida) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
St Josephs Hospital | Tampa, FL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baycare Medical Group, Inc. | 6406753623 | 1010 |
Entity Name | Baycare Medical Group, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043269871 PECOS PAC ID: 6406753623 Enrollment ID: O20031216000718 |
Mailing Address | Practice Location Address |
---|---|
Dr Louis Dembrun Matherne Iv, MD 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 Ph: (813) 264-6490 | Dr Louis Dembrun Matherne Iv, MD 4211 Van Dyke Rd Ste 200, Lutz, FL 33558-8005 Ph: (813) 264-6490 |
Dr. Quan Dinh Tran, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 4211 Vandyke Road, Suite 200, Lutz, FL 33558 Phone: 813-264-6490 Fax: 813-321-1878 | |
Andres Vidovich-ortiz, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 19105 N Us Highway 41, Suite 300, Lutz, FL 33549 Phone: 813-866-1959 Fax: 813-866-1957 | |
Dr. Forrest C. Haslup, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4211 Vandyke Road, Suite 200, Lutz, FL 33558 Phone: 813-264-6490 Fax: 813-321-1878 | |
Dr. Bill E Barry, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 4211 Vandyke Road, Suite 200, Lutz, FL 33558 Phone: 813-264-6490 Fax: 813-321-1878 | |
Dr. Hashani Malik Perkins, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 15953 N Florida Ave, Lutz, FL 33549 Phone: 813-999-0085 | |
Koji Honda, DO Surgery Medicare: Accepting Medicare Assignments Practice Location: 19105 N Us Highway 41, Suite 300, Lutz, FL 33549 Phone: 813-866-1959 Fax: 813-866-1957 |