Matthew Bryan Mastrodomenico, MD in Shreveport, LA

Matthew Bryan Mastrodomenico, MD is a medicare enrolled "Pathology - Anatomic Pathology & Clinical Pathology" physician in Shreveport, Louisiana. He went to Louisiana State University School Of Medicine In Shreveport and graduated in 2011 and has 13 years of diverse experience with area of expertise as Pathology. He is a member of the group practice The Delta Pathology Group Llc, The Delta Pathology Group Llc and his current practice location is 2915 Missouri Ave, Shreveport, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 621-8820.

Matthew Bryan Mastrodomenico is licensed to practice in Louisiana (license number MD.301728) 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 1487944930.

Contact Information

	Matthew Bryan Mastrodomenico, MD
	2915 Missouri Ave, Shreveport, LA 71109-4327
	(318) 621-8820
	(318) 212-4189

Map and Direction

Physician's Profile

Full Name	Matthew Bryan Mastrodomenico
Gender	Male
Speciality	Pathology
Experience	13 Years
Location	2915 Missouri Ave, Shreveport, Louisiana
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:

Matthew Bryan Mastrodomenico attended and graduated from Louisiana State University School Of Medicine In Shreveport in 2011

NPI Data:

NPI Number: 1487944930
Provider Enumeration Date: 04/17/2011
Last Update Date: 07/22/2016

Medicare PECOS Information:

PECOS PAC ID: 1951600295
Enrollment ID: I20160720002241

Medical Identifiers

Medical identifiers for Matthew Bryan Mastrodomenico such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487944930	NPI	-	NPPES
13776549	Other	LA	CAQH
2420763	Medicaid	LA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD.301728 (Louisiana)	Primary
207ZP0102X	Pathology - Anatomic Pathology & Clinical Pathology	MD37690 (South Carolina)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Willis Knighton Medical Center, Inc	Shreveport, LA	Hospital
St Francis Medical Center	Monroe, LA	Hospital
Christus Health Shreveport - Bossier	Shreveport, LA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
The Delta Pathology Group Llc	4789639089	32
The Delta Pathology Group Llc	4789639089	32

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew Bryan Mastrodomenico allows following entities to bill medicare on his behalf.

Entity Name	The Delta Pathology Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548258973 PECOS PAC ID: 4789639089 Enrollment ID: O20050321000139

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. Matthew Bryan Mastrodomenico 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
Matthew Bryan Mastrodomenico, MD Po Box 731280, Dallas, TX 75373-1280 Ph: (318) 841-9526	Matthew Bryan Mastrodomenico, MD 2915 Missouri Ave, Shreveport, LA 71109-4327 Ph: (318) 621-8820

Reviews and Comments

Pathology Doctors in Shreveport, LA

Kshitij Satnamdas Arora, Pathology Medicare: Medicare Enrolled Practice Location: 1541 Kings Hwy, Shreveport, LA 71103 Phone: 318-626-0000
Fleurette Wilheimina Abreo, MBBS Pathology Medicare: Medicare Enrolled Practice Location: 2915 Missouri Ave, Shreveport, LA 71109 Phone: 318-621-8820 Fax: 318-212-4189
Dr. Fredric Thomas Siskron, MD Pathology Medicare: Medicare Enrolled Practice Location: 2915 Missouri Ave, Shreveport, LA 71109 Phone: 318-364-2000
Sara Samadzadeh, M.D Pathology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 310-938-4285
Dr. George K. Harrison, MD Pathology Medicare: Medicare Enrolled Practice Location: 2915 Missouri Ave, Shreveport, LA 71109 Phone: 318-364-2000
Warren Donovan Grafton, M.D. Pathology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Department Of Pathology, Shreveport, LA 71103 Phone: 318-675-7737 Fax: 318-675-5666
Dr. Maria-magdalena Georgescu, M.D., PH.D. Pathology Medicare: Medicare Enrolled Practice Location: 1501 Kings Hwy, Shreveport, LA 71103 Phone: 318-675-4929

Matthew Bryan Mastrodomenico, MD - Medicare Pathology in Shreveport, LA