Devica Matuknath, in Elmhurst, NY - Medicare Nurse Practitioner

Devica Matuknath, is a medicare enrolled "Nurse Practitioner - Family" in Elmhurst, New York. Her current practice location is 7901 Broadway, Elmhurst, New York. You can reach out to her office (for appointments etc.) via phone at (718) 334-4000.

Devica Matuknath is licensed to practice in New York (license number 351557) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1053096578.

Contact Information

	Devica Matuknath,
	7901 Broadway, Elmhurst, NY 11373-1329
	(718) 334-4000
	Not Available

Map and Direction

Provider's Profile

Full Name	Devica Matuknath
Gender	Female
Speciality	Nurse Practitioner - Family
Location	7901 Broadway, Elmhurst, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053096578
Provider Enumeration Date: 06/21/2023
Last Update Date: 06/21/2023

Medicare PECOS Information:

PECOS PAC ID: 0042663460
Enrollment ID: I20240201000474

Medical Identifiers

Medical identifiers for Devica Matuknath such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053096578	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	351557 (New York)	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. Devica Matuknath allows following entities to bill medicare on her behalf.

Entity Name	Nys Medical Associate Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104268572 PECOS PAC ID: 8022243492 Enrollment ID: O20131021001887

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. Devica Matuknath 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
Devica Matuknath, 11124 121st St, South Ozone Park, NY 11420-1341 Ph: (191) 794-0632	Devica Matuknath, 7901 Broadway, Elmhurst, NY 11373-1329 Ph: (718) 334-4000

Reviews and Comments

Nurse Practitioner Nurses in Elmhurst, NY

Carlota Gabriel Antonio, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-2424 Fax: 718-334-5958
Tenzin Chodon, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 Broadway # D1-05, Elmhurst, NY 11373 Phone: 718-334-2488 Fax: 718-334-5006
Ms. Flordeliz Orticio Jorge, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-5970 Fax: 718-334-5958
Ms. Sheung-chi Ng, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 79-01 Broadway, Managed Care, D1-01, Elmhurst, NY 11373 Phone: 718-334-1921 Fax: 718-334-5958
Ms. Michelle Malesa Williams, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-5970 Fax: 718-334-5958
Magdalena Anna Zavala, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-4000
Bibi Ali-mohamed, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-4000

Devica Matuknath, - Medicare Nurse Practitioner in Elmhurst, NY