Matthew Kam, is a medicare enrolled "Marriage & Family Therapist" provider in Chubbuck, Idaho. He graduated from healthcare school in 2008 and has 18 years of diverse experience with area of expertise as Marriage And Family Therapist. He is a member of the group practice Canvi Behavioral Health Pllc and his current practice location is
4650 Hawthorne Rd Ste 3b, Chubbuck, Idaho. You can reach out to his office (for appointments etc.) via phone at
(208) 252-5621.
Matthew Kam is licensed to practice in Idaho (license number LPC5260) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1457646895.
Healthcare Provider's Profile
| Full Name | Matthew Kam |
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| Gender | Male |
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| Speciality | Marriage And Family Therapist |
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| Experience | 18 Years |
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| Location | 4650 Hawthorne Rd Ste 3b, Chubbuck, Idaho |
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| Accepts Medicare Assignments | Yes. He 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:
- Matthew Kam graduated from medical school in 2008
NPI Data:
- NPI Number: 1457646895
- Provider Enumeration Date: 06/14/2011
- Last Update Date: 04/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 6406178268
- Enrollment ID: I20240112001244
Medical Identifiers
Medical identifiers for Matthew Kam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1457646895 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | LPC5260 (Idaho) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Canvi Behavioral Health Pllc | 0941692073 | 9 |
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. Matthew Kam allows following entities to bill medicare on his behalf.
| Entity Name | Canvi Behavioral Health Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144984873
PECOS PAC ID: 0941692073
Enrollment ID: O20220121000627 |
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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. Matthew Kam 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 |
|---|
Matthew Kam,
4650 Hawthorne Rd Ste 3b,
Chubbuck, ID 83202-2376
Ph: (208) 252-5621 | Matthew Kam,
4650 Hawthorne Rd Ste 3b,
Chubbuck, ID 83202-2376
Ph: (208) 252-5621 |
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