Individual
DENISE PINE-MATTAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
410 N 2ND ST, MARSHALL, IL 62441-1010
(217) 826-2361
(217) 826-2366
Mailing address
PO BOX 2505, INDIANAPOLIS, IN 46206-2505
(812) 238-7783
(812) 238-4506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01060692A
IN
207Q00000X
Family Medicine Physician
Primary
036114511
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036114511
—
IL
05
—
200876850
—
IN
01
—
P00459732
RR MEDICARE
IL
01
—
P00459735
RR MEDICARE
IN
Enumeration date
06/12/2006
Last updated
10/18/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us