Dr Michael Trae Mattison, MD | |
410 N Utica Ave, Lubbock, TX 79416-3035 | |
(806) 776-1098 | |
(806) 771-2078 |
Full Name | Dr Michael Trae Mattison |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 28 Years |
Location | 410 N Utica Ave, Lubbock, Texas |
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 |
---|---|---|---|
1952411977 | NPI | - | NPPES |
98574213 | Medicaid | NM | |
165107702 | Medicaid | TX | |
8K3321 | Other | TX | BLUE CROSS BLUE SHIELD |
113365100 | Other | TX | FIRSTCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | K4741 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Lubbock Heart Hospital Lp | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Mattison Pathology, Llp | 6204721467 | 10 |
Mattison Pathology, Llp | 6204721467 | 10 |
Entity Name | Mattison Pathology, Llp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1093820763 PECOS PAC ID: 6204721467 Enrollment ID: O20040319001206 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Trae Mattison, MD 410 N Utica Ave, Lubbock, TX 79416-3035 Ph: (806) 776-1098 | Dr Michael Trae Mattison, MD 410 N Utica Ave, Lubbock, TX 79416-3035 Ph: (806) 776-1098 |
Dr. Safaa S. Labib, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Suite 1a115, Lubbock, TX 79430 Phone: 806-743-2155 Fax: 806-743-2117 | |
Luis H Brandi, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St Stop 8115, Lubbock, TX 79430 Phone: 806-743-2155 Fax: 806-743-2117 | |
Dr. Hugh H Paik, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 3615 19th St, Lubbock, TX 79410 Phone: 806-744-1887 Fax: 806-744-5545 | |
Dr. Viviane Mamlok, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 3601 4th St, 1a115, Lubbock, TX 79430 Phone: 806-743-2155 Fax: 806-743-2117 | |
Dr. Sridhar Natarajan, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 4434 S Loop 289, Sridhar Natarajan Chief Medical Examiner, Lubbock, TX 79414 Phone: 806-687-9434 Fax: 806-687-9438 | |
Dr. Ruc Manh Tran, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, 1a115, Lubbock, TX 79430 Phone: 806-743-2155 Fax: 806-743-2117 | |
Dr. Thomas Randolph Mattison, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 410 N Utica Ave, Lubbock, TX 79416 Phone: 806-776-1098 Fax: 806-771-2078 |