Dr Matthew Julian Wideroff, MD | |
61 Memorial Medical Pkwy Ste 3805, Palm Coast, FL 32164-5982 | |
(386) 586-1605 | |
(386) 586-1607 |
Full Name | Dr Matthew Julian Wideroff |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 14 Years |
Location | 61 Memorial Medical Pkwy Ste 3805, Palm Coast, 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 |
---|---|---|---|
1134448129 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | ME167382 (Florida) | Primary |
208600000X | Surgery | 9934 (South Dakota) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Monument Health Rapid City Hospital | Rapid city, SD | Hospital |
Fall River Hospital - Cah | Hot springs, SD | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Monument Health Rapid City Hospital Inc | 6002729506 | 431 |
Entity Name | Monument Health Rapid City Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1275553463 PECOS PAC ID: 6002729506 Enrollment ID: O20070625000144 |
Mailing Address | Practice Location Address |
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Dr Matthew Julian Wideroff, MD Po Box 935921, Atlanta, GA 31193-5921 Ph: () - | Dr Matthew Julian Wideroff, MD 61 Memorial Medical Pkwy Ste 3805, Palm Coast, FL 32164-5982 Ph: (386) 586-1605 |
Dr. John J Cascone, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy, Suite 3805, Palm Coast, FL 32164 Phone: 386-586-1605 Fax: 386-586-1607 | |
Dr. Abubaker Ahmed Ali, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 1-800a, Palm Coast, FL 32164 Phone: 386-302-1366 | |
Dr. Alfred Lewis Alson, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 28 Old Kings Rd N, Palm Coast, FL 32137 Phone: 386-445-0554 Fax: 386-445-5242 | |
Steven C. Bower, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy, Suite 3807, Palm Coast, FL 32164 Phone: 386-586-1780 Fax: 386-586-1781 | |
John Alan Walsh, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 14 Office Park Dr Ste 7, Palm Coast, FL 32137 Phone: 386-302-5064 Fax: 386-302-5093 |