Nikki Isis Matus, NURSE PRACTITIONER in Stony Brook, NY

Nikki Isis Matus, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Primary Care" in Stony Brook, New York. Her current practice location is 101 Nicolls Rd, Stony Brook, New York. You can reach out to her office (for appointments etc.) via phone at (631) 807-4241.

Nikki Isis Matus is licensed to practice in New York (license number 310367) 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 1063142529.

Contact Information

	Nikki Isis Matus, NURSE PRACTITIONER
	101 Nicolls Rd, Stony Brook, NY 11794-0001
	(631) 807-4241
	Not Available

Map and Direction

Provider's Profile

Full Name	Nikki Isis Matus
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	101 Nicolls Rd, Stony Brook, 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: 1063142529
Provider Enumeration Date: 06/16/2022
Last Update Date: 06/16/2022

Medicare PECOS Information:

PECOS PAC ID: 6002291994
Enrollment ID: I20220913001857

Medical Identifiers

Medical identifiers for Nikki Isis Matus such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063142529	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP2300X	Nurse Practitioner - Primary Care	310367 (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. Nikki Isis Matus allows following entities to bill medicare on her behalf.

Entity Name	Stony Brook Anaesthesiology University Faculty Practice Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801841184 PECOS PAC ID: 3375434970 Enrollment ID: O20040323000959

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. Nikki Isis Matus 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
Nikki Isis Matus, NURSE PRACTITIONER 14 Allyson Pl, East Setauket, NY 11733-2000 Ph: () -	Nikki Isis Matus, NURSE PRACTITIONER 101 Nicolls Rd, Stony Brook, NY 11794-0001 Ph: (631) 807-4241

Reviews and Comments

Nurse Practitioner Nurses in Stony Brook, NY

Mrs. Heather Marie Caligiuri, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-631-4449
Mr. Sam Tarik Mendoune I, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-335-1657
Kevin Ramdeen, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd, Stony Brook, NY 11794 Phone: 631-312-6354
Mrs. Patricia B Meyer, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1212 Route 25a, Stony Brook, NY 11790 Phone: 631-941-1388 Fax: 631-689-3993
Mrs. Marie Oquendo-miller, MSNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1 Stadium Road, Stony Brook, NY 11794 Phone: 631-632-6738 Fax: 631-632-6936
Michael Christopher Parrinello, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Suny At Stony Brk, Stony Brook, NY 11794 Phone: 631-444-2701
Mrs. Joanne M Camarda, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 101 Nicolls Rd Fl Hsc11, Stony Brook, NY 11794 Phone: 631-444-7720 Fax: 631-444-7865

Nikki Isis Matus, NURSE PRACTITIONER - Medicare Nurse Practitioner in Stony Brook, NY