Martin Joseph Decker, D.O.
Individual provider Active NPI Family Medicine Physician · Meadville, PA
NPI 1831152099 · NPPES record last updated Jun 7, 2016
Key facts
- NPI
- 1831152099
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS010482L (PA)
- Practice address
- 901 Water St
Meadville, PA 16335-3434 - Phone
- (814) 337-1144
- Fax
- (814) 337-0941
- NPI assigned
- Apr 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 55
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novacare Outpatient Rehabilitation East, Inc.
Meadville Medical Center
Titusville Area Hospital
Primary Care Services
Practice addresses (Care Compare)
1012 Water St
Meadville, PA 16335-3468
Phone (814) 337-2345
640 Alden St
Meadville, PA 16335-2348
Phone (814) 333-7086
901 Water St
Meadville, PA 16335-3434
Phone (814) 333-5711
Hospital & facility affiliations
- Vna Alliance
- Interim Healthcare of Erie
- Lakeland Area Hospice, LP
- Gentiva II
- Meadville Medical Center
- Titusville Area Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101118000887 | PA | Practitioner - Family Practice | 5496941270 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS010482L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Primary Care Services | Family Medicine | Current |
Accepting new patients |
| Titusville Area Hospital | Current | Accepting new patients | |
| Titusville Area Hospital | Current |
Accepting new patients | |
| Titusville Area Hospital | Current |
Accepting new patients | |
| Titusville Area Hospital | Past | Accepting new patients | |
| Meadville Physician Services | Family Medicine | Past | Accepting new patients |
Locations
12387 Conneaut Lake Rd
Conneaut Lake, PA 16316
Phone (814) 373-4298
640 Alden St
Meadville, PA 16335
Phone (814) 373-5255
1034 Grove St
Meadville, PA 16335
Phone (814) 333-5728
901 Water St
Meadville, PA 16335
Phone (814) 333-5711
406 W Oak St
Titusville, PA 16354
Phone (814) 827-1851
Interoperability endpoints
- drdecker@dfml-pa.direct.office.nextgen.com
- mjdeckerdo@directaddress.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS010482L | PA | Yes |
Addresses
Primary practice location
901 Water St
Meadville, PA 16335-3434
Mailing address
901 Water St
Meadville, PA 16335-3434
Phone (814) 337-1144
Other providers in Meadville, PA
- David a. Williams, D.O., Inc.
- Debi Ann Davis
- Sandeep Dayanand
- Rona De la Vega
- Decker Family Medicine LLC
- Dedham Dialysis LLC
- Shannon Len Deets
- Melissa Lynn Dengler
- Dennis M. Finton, DMD, PC
- Damian J Derlink
All providers in Meadville, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 7, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.