Matthew Merrell, | |
6431 Fannin St, Suite Msb 5.195, Houston, TX 77030-1501 | |
(713) 500-6113 | |
(713) 500-0528 |
Full Name | Matthew Merrell |
---|---|
Gender | Male |
Speciality | Anesthesiology |
Experience | 8 Years |
Location | 6431 Fannin St, Houston, 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 |
---|---|---|---|
1275997389 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207L00000X | Anesthesiology | 7237014-1204 (Utah) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Of Utah Hospitals And Clinics | Salt lake city, UT | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
University Of Utah Adult Services | 0941525273 | 1435 |
Entity Name | University Of Utah Adult Services |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683 |
Mailing Address | Practice Location Address |
---|---|
Matthew Merrell, 6431 Fannin St, Suite Msb 5.195, Houston, TX 77030-1501 Ph: (713) 500-6113 | Matthew Merrell, 6431 Fannin St, Suite Msb 5.195, Houston, TX 77030-1501 Ph: (713) 500-6113 |
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