Individual ProviderLeticia De MatteiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3601 W Thirteen Mile Road, Gme Office - Beaumont Hospital - Royal Oak, Royal Oak, MI 48073(248) 551-3000PECOS EnrollmentBased on the most recent information from CMS, provider Leticia De Mattei is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 9:21 AM.Profile DetailsProvider ID1073355657Provider TypeIndividualFull NameDe Mattei, LeticiaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date6/12/2024Last Updated9/18/2024Contact InformationPractice LocationPractice Address3601 W Thirteen Mile Road, Gme Office - Beaumont Hospital - Royal Oak, Royal Oak, MI 48073Phone(248) 551-3000Fax(248) 551-9425Mailing LocationMailing Address3601 W 13 Mile Rd, Royal Oak, MI 48073-6712Phone(248) 551-3000Fax(248) 551-9425Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense4351052679Michigan