Mrs Alicja Matusiak, LISW-S, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Columbus, Ohio. She graduated from medical school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Holistic Wellness Solutions Llc and her current practice location is
4770 Indianola Ave Ste 107, Columbus, Ohio. You can reach out to her office (for appointments etc.) via phone at
(614) 371-2303.
Mrs Alicja Matusiak is licensed to practice in Ohio (license number APRN.CNP.16032) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1174757678.
Healthcare Provider's Profile
| Full Name | Mrs Alicja Matusiak |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 4770 Indianola Ave Ste 107, Columbus, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Alicja Matusiak graduated from medical school in 2014
NPI Data:
- NPI Number: 1174757678
- Provider Enumeration Date: 05/12/2009
- Last Update Date: 04/08/2025
Medicare PECOS Information:
- PECOS PAC ID: 1153469978
- Enrollment ID: I20200428000775
Medical Identifiers
Medical identifiers for Mrs Alicja Matusiak such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174757678 | NPI | - | NPPES |
| 0116587 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 0800345 (Ohio) | Secondary |
| 163WH0200X | Registered Nurse - Home Health | 359101 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | COA.16032-NP (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.16032 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Holistic Wellness Solutions Llc | 6002243755 | 6 |
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. Mrs Alicja Matusiak allows following entities to bill medicare on her behalf.
| Entity Name | Holistic Wellness Solutions Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063932119
PECOS PAC ID: 6002243755
Enrollment ID: O20200219001658 |
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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. Mrs Alicja Matusiak 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 |
|---|
Mrs Alicja Matusiak, LISW-S, CNP
4770 Indianola Ave Ste 107,
Columbus, OH 43214-1862
Ph: (614) 371-2303 | Mrs Alicja Matusiak, LISW-S, CNP
4770 Indianola Ave Ste 107,
Columbus, OH 43214-1862
Ph: (614) 371-2303 |
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