Dr Matthew R Pittman, MD | |
4830 Knightsbridge Blvd, Suite J, Columbus, OH 43214-2300 | |
(614) 293-3230 | |
(614) 293-4030 |
Full Name | Dr Matthew R Pittman |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 15 Years |
Location | 4830 Knightsbridge Blvd, Columbus, Ohio |
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 |
---|---|---|---|
1861621633 | NPI | - | NPPES |
0104249 | Medicaid | OK | |
206147 | Other | IL | MEDICARE PTAN GROUP |
F400237729 | Other | IL | MEDICARE PTAN INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 125.055834 (Illinois) | Secondary |
208600000X | Surgery | 35123279 (Ohio) | Secondary |
208600000X | Surgery | 036138487 (Illinois) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Delnor Community Hospital | Geneva, IL | Hospital |
Central Dupage Hospital | Winfield, IL | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Central Dupage Physician Group | 5890696231 | 977 |
Entity Name | Central Dupage Physician Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033149844 PECOS PAC ID: 5890696231 Enrollment ID: O20040303000601 |
Mailing Address | Practice Location Address |
---|---|
Dr Matthew R Pittman, MD 351 Delnor Dr, Geneva, IL 60134-4222 Ph: (630) 668-0833 | Dr Matthew R Pittman, MD 4830 Knightsbridge Blvd, Suite J, Columbus, OH 43214-2300 Ph: (614) 293-3230 |
Sebastian Vincent Demyttenaere, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 4830 Knightsbridge Blvd, Suite J, Columbus, OH 43214 Phone: 614-293-3230 Fax: 614-293-4030 | |
Dr. Robert Michael Dorman, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 700 Childrens Dr, Ccpr, Columbus, OH 43205 Phone: 614-722-0449 Fax: 614-355-6229 | |
Priya Harakh Dedhia, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 2050 Kenny Rd, Columbus, OH 43221 Phone: 614-293-7171 Fax: 614-293-3465 | |
Dr. Lauren Audrey Licata, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 410 W 10th Ave, Columbus, OH 43210 Phone: 614-293-2101 Fax: 614-293-9155 | |
Dr. Lindsay Olivia-lee Stepp, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1581 Dodd Dr Fl 1, Columbus, OH 43210 Phone: 614-293-2101 Fax: 614-293-9155 | |
Dr. Michael Ryan Douglas Farrell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 500 E Main St Ste 220, Columbus, OH 43215 Phone: 614-544-9670 Fax: 614-544-9671 | |
Patricia S Choban, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 750 Mount Carmel Mall, Suite 380, Columbus, OH 43222 Phone: 614-228-0768 Fax: 614-545-2997 |