MATTHEW R. VICKERY MD – NPI #1801139837
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

MATTHEW VICKERY is a radiologist located in MILWAUKEE, WI. NPPES has assigned the NPI number 1801139837 to MATTHEW VICKERY on March 27, 2013. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 7 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 8 years ago on Jun 21, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MATTHEW VICKERY below.

NPI Profile for
MATTHEW R. VICKERY

NPI Number
1801139837
Enumeration Date

(more than 13 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MATTHEW R. VICKERY
Credentials
MD
Primary location
8701 W WATERTOWN PLANK RD
POST OFFICE BOX 26509
MILWAUKEE, WI 53226
Phone: (414) 955-4575 Fax: (414) 955-6528
7 Other location(s):
1905 N Calhoun Rd
Brookfield, WI 53005-5036
Phone: (262) 754-8000
Fax: (262) 780-3396
W225N16711 Cedar Park Ct
Jackson, WI 53037-9222
Phone: (262) 677-1101
Fax: (262) 677-0121
1271 N 6th St
Milwaukee, WI 53212-3360
Phone: (414) 978-9100
Fax: (414) 978-9131
8701 W Watertown Plank Rd
Post Office Box 26509
Milwaukee, WI 53226-3548
Phone: (414) 955-4575
Fax: (414) 955-6528
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone: (414) 805-0812
Fax: (414) 805-0855
4805 S Moorland Rd
New Berlin, WI 53151-7401
Phone: (262) 798-7200
Fax: (262) 798-7271
7901 S 6th St
Oak Creek, WI 53154-2010
Phone: (414) 346-8000
Fax: (414) 346-8010
Mailing address
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226-3522
Phone: (414) 805-3750 Fax: (414) 259-9290
Sole Proprietor
No
Updated
Identifiers

Identifiers for MATTHEW VICKERY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDWI1801139837
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 WI 62730-20

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
MEDICAL COLLEGE OF WISCONSIN - Graduated 2013
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MATTHEW VICKERY is affiliated with the following medical group(s):
  • HOSPITAL
    • COMMUNITY MEMORIAL HOSPITAL
      W180 N8085 TOWN HALL RD
      MENOMONEE FALLS, WI 53051
    • FROEDTERT COMMUNITY HOSPITAL
      4805 S MOORLAND RD
      NEW BERLIN, WI 53151
    • FROEDTERT MEMORIAL LUTHERAN HOSPITAL
      9200 W WISCONSIN AVE
      MILWAUKEE, WI 53226
    • ST JOSEPHS COMMUNITY HOSPITAL WEST BEND
      3200 PLEASANT VALLEY ROAD
      WEST BEND, WI 53095

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