Carlos Matute Mandujano, MD in Pasco, WA - Medicare Family Medicine

Carlos Matute Mandujano, MD is a medicare enrolled "Family Medicine" physician in Pasco, Washington. His current practice location is 507 N 5th Ave, Pasco, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 416-8880.

Carlos Matute Mandujano is licensed to practice in Washington (license number MD61245855) 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 1477030880.

Contact Information

	Carlos Matute Mandujano, MD
	507 N 5th Ave, Pasco, WA 99301-5201
	(509) 416-8880
	Not Available

Map and Direction

Physician's Profile

Full Name	Carlos Matute Mandujano
Gender	Male
Speciality	Family Medicine
Location	507 N 5th Ave, Pasco, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477030880
Provider Enumeration Date: 07/27/2018
Last Update Date: 10/19/2022

Medicare PECOS Information:

PECOS PAC ID: 3577960657
Enrollment ID: I20220713003317

Medical Identifiers

Medical identifiers for Carlos Matute Mandujano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477030880	NPI	-	NPPES
12083	Medicaid	ND
2190517	Medicaid	WA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	MD61245855 (Washington)	Primary
207Q00000X	Family Medicine	RL15209 (North Dakota)	Secondary

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. Carlos Matute Mandujano allows following entities to bill medicare on his behalf.

Entity Name	Lourdes Hospital Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659861060 PECOS PAC ID: 1850642562 Enrollment ID: O20181113000853

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. Carlos Matute Mandujano 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
Carlos Matute Mandujano, MD 520 N 4th Ave, Pasco, WA 99301-5257 Ph: () -	Carlos Matute Mandujano, MD 507 N 5th Ave, Pasco, WA 99301-5201 Ph: (509) 416-8880

Reviews and Comments

Family Medicine Doctors in Pasco, WA

Cheryl Hipolito, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 515 W Court St, Pasco, WA 99301 Phone: 509-547-2204
Juan Carlos Hernandez Umana, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 3905 Sandifur Parkway, Pasco, WA 99301 Phone: 509-942-3170 Fax: 509-543-9795
Dr. Travis Alexander Najera, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1620 N Road 44, Pasco, WA 99301 Phone: 509-396-3001 Fax: 509-544-2158
Dr. Kathryn L Soudah, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5025 Rd 68 Ste G #186, Pasco, WA 99301 Phone: 541-567-5305
Raymond Edward Kania, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 5304 N Road 68, Pasco, WA 99301 Phone: 509-543-9300
Thomas Kevin Westhusing, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1200 N 14th Ave, Suite 400, Pasco, WA 99301 Phone: 509-545-6220 Fax: 509-547-0894
Dr. Marshall Keith Brown, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5304 Road 68, Pasco, WA 99301 Phone: 509-543-9300

Carlos Matute Mandujano, MD - Medicare Family Medicine in Pasco, WA