Dr Tanner Layne Mattison, MD | |
2609 Sir Gawain Ln, Lewisville, TX 75056-5719 | |
(214) 392-5871 | |
Not Available |
Full Name | Dr Tanner Layne Mattison |
---|---|
Gender | Male |
Speciality | Pathology |
Experience | 28 Years |
Location | 2609 Sir Gawain Ln, Lewisville, 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 |
---|---|---|---|
1881657245 | NPI | - | NPPES |
DR.0049728 | Medicaid | CO | |
MD.202224 | Medicaid | LA | |
2008-02044 | Medicaid | NC | |
42717 | Medicaid | AZ | |
L2451 | Medicaid | TX | |
MD2008-0818 | Medicaid | NM | |
49732-1 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | L2451 (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 Tanner Layne Mattison, MD 2609 Sir Gawain Ln, Lewisville, TX 75056-5719 Ph: (214) 392-5871 | Dr Tanner Layne Mattison, MD 2609 Sir Gawain Ln, Lewisville, TX 75056-5719 Ph: (214) 392-5871 |
Richard Chipman Burgess, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 500 W Main St, Suite 201, Lewisville, TX 75057 Phone: 972-434-1052 Fax: 972-420-8542 | |
Pallavi Patil, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2501 South Highway 121, Suite 1210, Lewisville, TX 75067 Phone: 972-966-7827 Fax: 972-966-7899 | |
Latoya Guinn Keglovits, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2501 South State Hwy 121, Suite 1210, Lewisville, TX 75067 Phone: 972-966-7871 Fax: 972-966-7899 | |
Temekka Ve'shawn Leday, M.D., PH.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 2501 South State Hwy 121 Business, Suite 1210, Lewisville, TX 75067 Phone: 972-966-7828 Fax: 972-966-7899 | |
Michael Hew, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 500 W. Main St., Lewisville, TX 75057 Phone: 214-638-2000 Fax: 214-631-6724 |