Dr Pamela Wagner Vonmatthiessen, MD is a
Internal Medicine physician based in Yellow Springs, Ohio. Dr Pamela Wagner Vonmatthiessen is licensed to practice in Ohio (license number 35.076986) and her current practice location is 1234 Livermore Street, Yellow Springs, Ohio. She can be reached at her office (for appointments etc.) via phone at
(937) 767-0147.
NPI number for Dr Pamela Wagner Vonmatthiessen is 1477550762 and her current mailing address is 1234 Livermore Street, Yellow Springs, Ohio. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477550762.
Physician's Profile
| Full Name | Dr Pamela Wagner Vonmatthiessen |
|---|
| Gender | Female |
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| Speciality | Internal Medicine |
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| Location | 1234 Livermore Street, Yellow Springs, Ohio |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477550762
- Provider Enumeration Date: 07/01/2005
- Last Update Date: 12/23/2014
Medical Identifiers
Medical identifiers for Dr Pamela Wagner Vonmatthiessen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477550762 | NPI | - | NPPES |
| 2208659 | Medicaid | OH | |
| 70076341 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 38431 (Colorado) | Secondary |
| 207R00000X | Internal Medicine | 35.076986 (Ohio) | Primary |
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 Pamela Wagner Vonmatthiessen 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 Pamela Wagner Vonmatthiessen, MD
1234 Livermore Street,
Yellow Springs, OH 45387
Ph: (937) 767-0147 | Dr Pamela Wagner Vonmatthiessen, MD
1234 Livermore Street,
Yellow Springs, OH 45387
Ph: (937) 767-0147 |
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