Matthew Thomas Middendorf, MD is a medicare enrolled "Internal Medicine" physician in Agana Heights, Guam. His current practice location is
Farenholt Ave. Bldg. 50, Agana Heights, Guam. You can reach out to his office (for appointments etc.) via phone at
(671) 344-9340.
Matthew Thomas Middendorf is licensed to practice in South Carolina (license number MD39270) 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 1629305784.
Physician's Profile
| Full Name | Matthew Thomas Middendorf |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | Farenholt Ave. Bldg. 50, Agana Heights, Guam |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1629305784
- Provider Enumeration Date: 11/11/2009
- Last Update Date: 09/19/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698024750
- Enrollment ID: I20231020000660
Medical Identifiers
Medical identifiers for Matthew Thomas Middendorf such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1629305784 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RP1001X | Internal Medicine - Pulmonary Disease | MD39270 (South Carolina) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | MD39270 (South Carolina) | Secondary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | M-2396 (Guam) | Secondary |
| 207RP1001X | Internal Medicine - Pulmonary Disease | M-2396 (Guam) | Secondary |
| 207R00000X | Internal Medicine | MD39270 (South Carolina) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Matthew Thomas Middendorf allows following entities to bill medicare on his behalf.
| Entity Name | Guam Healthcare Development Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326447939
PECOS PAC ID: 9234351776
Enrollment ID: O20150326000266 |
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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. Matthew Thomas Middendorf 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 |
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Matthew Thomas Middendorf, MD
Psc 455 Box 208,
Fpo, AP 96540-0003
Ph: (706) 296-3552 | Matthew Thomas Middendorf, MD
Farenholt Ave. Bldg. 50,
Agana Heights, GU 96910
Ph: (671) 344-9340 |
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