Mateo Guanzon, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Dyer, Indiana. His current practice location is
2150 Gettler St Ste 400, Dyer, Indiana. You can reach out to his office (for appointments etc.) via phone at
(219) 865-0893.
Mateo Guanzon is licensed to practice in Indiana (license number 01035781A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1629073366.
Physician's Profile
Full Name | Mateo Guanzon |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 2150 Gettler St Ste 400, Dyer, Indiana |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mateo Guanzon attended and graduated from in
NPI Data:
- NPI Number: 1629073366
- Provider Enumeration Date: 06/17/2005
- Last Update Date: 03/22/2021
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mateo Guanzon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629073366 | NPI | - | NPPES |
100346800 | Medicaid | IN | |
300010982 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2086S0129X | Surgery - Vascular Surgery | 01035781A (Indiana) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01035781 (Indiana) | Secondary |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01035781A (Indiana) | 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. Mateo Guanzon is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mateo Guanzon, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4868 | Mateo Guanzon, MD 2150 Gettler St Ste 400, Dyer, IN 46311-2385 Ph: (219) 865-0893 |
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