Dr Matthew S Bodner, MD is a
Anesthesiology physician based in Tallassee, Alabama. Dr Matthew S Bodner is licensed to practice in Alabama (license number 10657) and his current practice location is 5 Gilmer Pkwy, Suite 1, Tallassee, Alabama. He can be reached at his office (for appointments etc.) via phone at
(334) 731-4500.
NPI number for Dr Matthew S Bodner is 1164449674 and his current mailing address is 5 Gilmer Pkwy, Suite 1, Tallassee, Alabama. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1164449674.
Physician's Profile
| Full Name | Dr Matthew S Bodner |
|---|
| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 5 Gilmer Pkwy, Tallassee, Alabama |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1164449674
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 09/20/2007
Medical Identifiers
Medical identifiers for Dr Matthew S Bodner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1164449674 | NPI | - | NPPES |
| 202646105 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207L00000X | Anesthesiology | R5J60 (Missouri) | Secondary |
| 207L00000X | Anesthesiology | 10657 (Alabama) | Primary |
| 207L00000X | Anesthesiology | 50121-20 (Wisconsin) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Matthew S Bodner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Matthew S Bodner, MD
5 Gilmer Pkwy, Suite 1,
Tallassee, AL 36078-1215
Ph: (334) 731-4500 | Dr Matthew S Bodner, MD
5 Gilmer Pkwy, Suite 1,
Tallassee, AL 36078-1215
Ph: (334) 731-4500 |
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