Roderick Mathis, in Winter Garden, FL - Medicare Dentist Provider

Roderick Mathis, is a medicare enrolled "Dentist - General Practice" provider in Winter Garden, Florida. His current practice location is 13275 W Colonial Dr, Suite 200, Winter Garden, Florida. You can reach out to his office (for appointments etc.) via phone at (407) 905-8827.

Roderick Mathis is licensed to practice in Florida (license number 13831) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1396882833.

Contact Information

	Roderick Mathis,
	13275 W Colonial Dr, Suite 200, Winter Garden, FL 34787-3984
	(407) 905-8827
	(407) 654-4528

Map and Direction

Healthcare Provider's Profile

Full Name	Roderick Mathis
Gender	Male
Speciality	Dentist - General Practice
Location	13275 W Colonial Dr, Winter Garden, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1396882833
Provider Enumeration Date: 02/01/2007
Last Update Date: 03/26/2014

Medicare PECOS Information:

PECOS PAC ID: 0749571644
Enrollment ID: I20160623002427

Medical Identifiers

Medical identifiers for Roderick Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396882833	NPI	-	NPPES
004389000	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	13831 (Florida)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Roderick Mathis is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Roderick Mathis, 110 S Woodland St, Winter Garden, FL 34787-3546 Ph: (407) 905-8827	Roderick Mathis, 13275 W Colonial Dr, Suite 200, Winter Garden, FL 34787-3984 Ph: (407) 905-8827

Reviews and Comments

Dentist in Winter Garden, FL

Kathleen Thu Nguyen, D.M.D Dentist Medicare: Medicare Enrolled Practice Location: 13275 W Colonial Dr, Winter Garden, FL 34787 Phone: 407-905-8827 Fax: 407-654-4582
Dr. Deborah Titus, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 516 S Dillard St, Suite 3, Winter Garden, FL 34787 Phone: 407-378-2004
Gerald E Bennett, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 1210 E Plant St, Suite 200, Winter Garden, FL 34787 Phone: 407-905-8827 Fax: 407-654-4528
Dr. Nadia Ramdin, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 1291 Winter Garden Vineland Rd Ste 140, Winter Garden, FL 34787 Phone: 407-614-5955 Fax: 407-614-5001
Dr. Jason Joseph Sotto, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1210 E Plant St, Winter Garden, FL 34787 Phone: 407-877-4310 Fax: 407-654-4582
Dr. Robert H. Foster, DDS ,MAGD ,FICD Dentist Medicare: Not Enrolled in Medicare Practice Location: 522 S Main St, Winter Garden, FL 34787 Phone: 407-656-4411 Fax: 407-654-2098
Ricardo Carlo Carrillo, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1993 Daniels Rd Ste 120, Winter Garden, FL 34787 Phone: 407-395-9335

Roderick Mathis, - Medicare Dentist in Winter Garden, FL