Dr Matthew Charles Shillito, MD | |
6719 Alvarado Rd Ste 200, San Diego, CA 92120 | |
(619) 229-3932 | |
(619) 582-2860 |
Full Name | Dr Matthew Charles Shillito |
---|---|
Gender | Male |
Speciality | Hand Surgery |
Experience | 16 Years |
Location | 6719 Alvarado Rd Ste 200, San Diego, California |
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 |
---|---|---|---|
1538318548 | NPI | - | NPPES |
CB29564 | Medicaid | CA | |
1538318548 | Medicaid | CA | |
14534033 | Other | CA | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207XS0106X | Orthopaedic Surgery - Hand Surgery | A109569 (California) | Primary |
207X00000X | Orthopaedic Surgery | A109569 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Grossmont Hospital | La mesa, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Synergy Orthopedic Specialists Inc | 0941450498 | 50 |
Entity Name | Emergency And Acute Care Medical Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
Entity Name | Synergy Orthopedic Specialists Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114282779 PECOS PAC ID: 0941450498 Enrollment ID: O20121018000776 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew Charles Shillito, MD 6719 Alvarado Rd Ste 200, San Diego, CA 92120-5256 Ph: (619) 229-3932 | Dr Matthew Charles Shillito, MD 6719 Alvarado Rd Ste 200, San Diego, CA 92120 Ph: (619) 229-3932 |
Michelle Marie Gosselin, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 34800 Bob Wilson Drive, Dept Of Orthopedics, San Diego, CA 92134 Phone: 203-640-5521 | |
Eric William Edmonds, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 3030 Childrens Way, Suite 410, San Diego, CA 92123 Phone: 858-966-6789 | |
Steven Tradonsky, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 7485 Mission Valley Rd, Ste 104, San Diego, CA 92108 Phone: 619-291-8930 Fax: 619-398-4989 | |
Dr. Richard D Perlman, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 8008 Frost St, Suite 403, San Diego, CA 92123 Phone: 858-715-9200 Fax: 858-715-9202 | |
Peter Owen Newton, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3030 Childrens Way, Suite 410, San Diego, CA 92123 Phone: 858-966-6789 | |
Samy Gabriel, Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 200 W Arbor Dr # Mc8894, San Diego, CA 92103 Phone: 619-543-2540 | |
Oke Adrian Anakwenze, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3750 Convoy St Ste 201, San Diego, CA 92111 Phone: 858-300-2260 Fax: 858-300-2260 |