Look up the most recent NPI and PECOS records

Matthew Kliethermes

Student in an Organized Health Care Education/Training Program

Student, Health Care

Texas Tech Univ Health Sciences Ctr, 3601 4th Street, Lubbock, TX 79430-0001

PECOS Enrollment

Based on the most recent information from CMS, provider Matthew Kliethermes is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1417303363
Provider Type
Individual
Full Name
Kliethermes, Matthew
Title
Dr.
Credential
M.D.

Gender
Male
Sole Proprietor
No
Enumeration Date
5/10/2016
Last Updated
5/10/2016

Contact Information

Practice Location

Texas Tech Univ Health Sciences Ctr, 3601 4th Street, Lubbock, TX 79430-0001

(806) 743-1000

Unlisted Fax

Mailing Location

3601 4th Street, Texas Tech Univ. Health Sciences Center, Lubbock, TX 79430

(806) 743-1000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Matthew Kliethermes

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Santis Mejia, Juan Carlos

Sodsri, Tulaton

Martinez, Nora

Rana, Amina Gul

Yingchoncharoen, Pitchaporn

Merrill, Benjamin Morris

Norova, Sabina

Al Dogom, Sara

Brown, Timothy

Allala, Ruthvik Reddy