Dr Mathew James Deville, DC, PA-C is a medicare enrolled "Physician Assistant" provider in Redondo Beach, California. His current practice location is
2004 Nelson Ave, Redondo Beach, California. You can reach out to his office (for appointments etc.) via phone at
(310) 722-4504.
Dr Mathew James Deville is licensed to practice in California (license number PA65796) 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 1932291473.
Healthcare Provider's Profile
Full Name | Dr Mathew James Deville |
---|
Gender | Male |
---|
Speciality | Physician Assistant |
---|
Location | 2004 Nelson Ave, Redondo Beach, California |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1932291473
- Provider Enumeration Date: 09/29/2006
- Last Update Date: 02/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 3779806575
- Enrollment ID: I20250509001784
Medical Identifiers
Medical identifiers for Dr Mathew James Deville such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1932291473 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | DC29908 (California) | Secondary |
363A00000X | Physician Assistant | PA65796 (California) | 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. Dr Mathew James Deville 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 |
Dr Mathew James Deville, DC, PA-C 2004 Nelson Ave, Redondo Beach, CA 90278-2309 Ph: (310) 722-4504 | Dr Mathew James Deville, DC, PA-C 2004 Nelson Ave, Redondo Beach, CA 90278-2309 Ph: (310) 722-4504 |
Reviews and Comments