Annmarie Matusak, DDS in Fairfield, OH - Medicare Dentist Provider

Annmarie Matusak, DDS is a medicare enrolled "Dentist - Pediatric Dentistry" provider in Fairfield, Ohio. Her current practice location is 3050 Mack Rd, Ml 6007, Fairfield, Ohio. You can reach out to her office (for appointments etc.) via phone at (513) 636-6400.

Annmarie Matusak is licensed to practice in Ohio (license number 30.020318) 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 1265531636.

Contact Information

	Annmarie Matusak, DDS
	3050 Mack Rd, Ml 6007, Fairfield, OH 45014
	(513) 636-6400
	(513) 636-6452

Map and Direction

Healthcare Provider's Profile

Full Name	Annmarie Matusak
Gender	Female
Speciality	Dentist - Pediatric Dentistry
Location	3050 Mack Rd, Fairfield, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265531636
Provider Enumeration Date: 09/22/2006
Last Update Date: 01/26/2015

Medicare PECOS Information:

PECOS PAC ID: 4587966338
Enrollment ID: I20160111001732

Medical Identifiers

Medical identifiers for Annmarie Matusak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265531636	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223P0221X	Dentist - Pediatric Dentistry	30.020318 (Ohio)	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. Annmarie Matusak allows following entities to bill medicare on her behalf.

Entity Name	Children's Hospital Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609915784 PECOS PAC ID: 8426955733 Enrollment ID: O20031216000035

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. Annmarie Matusak 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
Annmarie Matusak, DDS 3050 Mack Rd., Ml 6007, Fairfield, OH 45014 Ph: (513) 636-6400	Annmarie Matusak, DDS 3050 Mack Rd, Ml 6007, Fairfield, OH 45014 Ph: (513) 636-6400

Reviews and Comments

Dentist in Fairfield, OH

Dr. Krista Whalen Nall, D.M.D. Dentist Medicare: Medicare Enrolled Practice Location: 3174 Mack Rd Ste 5, Fairfield, OH 45014 Phone: 513-802-9713
Dr. John Michael Cutter, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1251 Nilles Rd, Suite 13, Fairfield, OH 45014 Phone: 512-829-1100 Fax: 513-829-6984
Dr. Patrick Joseph Hoban, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 5184 Winton Rd, Fairfield, OH 45014 Phone: 513-858-1600 Fax: 513-858-2012
Gail A Payne, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2760 Mack Rd, Fairfield, OH 45014 Phone: 513-874-2444 Fax: 513-870-3064
Dr. Ross Michael Gille, DDS Dentist Medicare: Medicare Enrolled Practice Location: 571 Wessel Dr, Fairfield, OH 45014 Phone: 513-939-3200 Fax: 513-939-1358
Dr. Timothy Wayne Conley, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5188 Winton Rd, Fairfield, OH 45014 Phone: 513-829-8080
Dr. April Fannin Sprague, D.M.D. Dentist Medicare: Not Enrolled in Medicare Practice Location: 5380 Pleasant Ave Ste 3b, Fairfield, OH 45014 Phone: 606-316-1676

Annmarie Matusak, DDS - Medicare Dentist in Fairfield, OH