Dr Mathew James Deville, DC, PA-C is a medicare enrolled "Physician Assistant" provider in Redondo Beach, California. He graduated from medical school in 2024 and has 2 years of diverse experience with area of expertise as Physician Assistant. He is a member of the group practice Philip J Morgan Md Apc and 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
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1932291473.
Healthcare Provider's Profile
| Full Name | Dr Mathew James Deville |
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| Gender | Male |
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| Speciality | Physician Assistant |
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| Experience | 2 Years |
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| Location | 2004 Nelson Ave, Redondo Beach, California |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Mathew James Deville graduated from medical school in 2024
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 |
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| 111N00000X | Chiropractor | DC29908 (California) | Secondary |
| 363A00000X | Physician Assistant | PA65796 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Philip J Morgan Md Apc | 9830277656 | 5 |
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 |
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