Dr Ronald Edwin Mattison, MD | |
6005 Park Ave, Suite 700, Memphis, TN 38119-5202 | |
(901) 527-3391 | |
Not Available |
Full Name | Dr Ronald Edwin Mattison |
---|---|
Gender | Male |
Speciality | General Surgery |
Experience | 31 Years |
Location | 6005 Park Ave, Memphis, Tennessee |
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 |
---|---|---|---|
1396723748 | NPI | - | NPPES |
135084 | Other | IL | HAMP |
3932056 | Other | IL | BCBS |
869299 | Other | IL | HEALTHLINK |
036118070 | Medicaid | IL | |
7210895 | Other | IL | AETNA |
320875 | Other | IL | GHP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208600000X | Surgery | 048275 (Georgia) | Secondary |
208600000X | Surgery | 036118870 (Illinois) | Secondary |
208600000X | Surgery | 45847 (Tennessee) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Wellstar Paulding Hospital | Hiram, GA | Hospital |
Wellstar Kennestone Hospital | Marietta, GA | Hospital |
Wellstar Douglas Hospital | Douglasville, GA | Hospital |
Wellstar Cobb Hospital | Austell, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
The Philip Israel Breast Center Pc | 9931180098 | 3 |
Entity Name | The Philip Israel Breast Center Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942310917 PECOS PAC ID: 9931180098 Enrollment ID: O20040526000224 |
Mailing Address | Practice Location Address |
---|---|
Dr Ronald Edwin Mattison, MD 6005 Park Ave, Suite 700, Memphis, TN 38119-5202 Ph: (901) 527-3391 | Dr Ronald Edwin Mattison, MD 6005 Park Ave, Suite 700, Memphis, TN 38119-5202 Ph: (901) 527-3391 |
Leonard Harvey Hines, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 6005 Park Ave, Suite 821-b, Memphis, TN 38119 Phone: 901-726-1056 Fax: 901-726-5867 | |
Dr. Robert D Wallace, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 500, Memphis, TN 38119 Phone: 901-866-8525 | |
William Leslie Hickerson, MD Surgery Medicare: Medicare Enrolled Practice Location: 890 Madison Ave, Suite Tg032, Memphis, TN 38103 Phone: 901-448-2579 Fax: 901-448-2602 | |
Dr. Dan Huff Shell Iii, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1068 Cresthaven Rd Ste 200, Memphis, TN 38119 Phone: 901-761-4844 Fax: 901-761-6929 | |
Randall William Franz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1325 Eastmoreland Ave Ste 365, Memphis, TN 38104 Phone: 901-272-6018 Fax: 901-201-4203 | |
Dr. Christine T Mroz, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 6005 Park, #700, Memphis, TN 38119 Phone: 901-527-3391 Fax: 901-578-3969 | |
Miriam Wing San Tsao, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 1211 Union Ave Suite 300, Memphis, TN 38104 Phone: 901-516-0792 Fax: 901-266-6415 |