Matthew Glen Checketts, DO | |
2850 E Main St Ste 106, Mesa, AZ 85213-9304 | |
(480) 618-0019 | |
Not Available |
Full Name | Matthew Glen Checketts |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Experience | 9 Years |
Location | 2850 E Main St Ste 106, Mesa, Arizona |
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 |
---|---|---|---|
1518344753 | NPI | - | NPPES |
1518344753 | Medicaid | IA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 007545 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Greater Regional Medical Center | Creston, IA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Oak Street Health Physicians Group Of Arizona Pllc | 3274939988 | 42 |
Entity Name | Oak Street Health Physicians Group Of Arizona Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063083590 PECOS PAC ID: 3274939988 Enrollment ID: O20210903002048 |
Mailing Address | Practice Location Address |
---|---|
Matthew Glen Checketts, DO Po Box 746093, Atlanta, GA 30374-6093 Ph: (773) 352-1517 | Matthew Glen Checketts, DO 2850 E Main St Ste 106, Mesa, AZ 85213-9304 Ph: (480) 618-0019 |
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