| Matthew S. Kaatz, Md Pc | |
|
101 1st St Nw Pulaski VA 24301-5605 | |
| (540) 980-0552 | |
| (540) 980-5010 |
| Full Name | Matthew S. Kaatz, Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 101 1st St Nw, Pulaski, Virginia |
| Authorized Official Name and Position | Carolyn P Gardner (INSURANCE CLERK) |
| Authorized Official Contact | 5409800550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Matthew S. Kaatz, Md Pc 101 1st St Nw Pulaski VA 24301-5605 Ph: (540) 980-0550 | Matthew S. Kaatz, Md Pc 101 1st St Nw Pulaski VA 24301-5605 Ph: (540) 980-0552 |
| NPI Number | 1912228297 |
|---|---|
| Provider Enumeration Date | 06/21/2010 |
| Last Update Date | 06/24/2010 |
| Medicare PECOS PAC ID | 7719001817 |
|---|---|
| Medicare Enrollment ID | O20100826000165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912228297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Matthew S Kaatz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255394557 PECOS PAC ID: 9335271881 Enrollment ID: I20100719000418 |
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