Dena Rae Matalon, MD is a medicare enrolled "Medical Genetics - Clinical Genetics (m.d.)" physician in Palo Alto, California. Her current practice location is
725 Welch Rd, Palo Alto, California. You can reach out to her office (for appointments etc.) via phone at
(650) 497-8000.
Dena Rae Matalon is licensed to practice in California (license number A152667) 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 1134567696.
Physician's Profile
| Full Name | Dena Rae Matalon |
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| Gender | Female |
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| Speciality | Medical Genetics - Clinical Genetics (m.d.) |
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| Location | 725 Welch Rd, Palo Alto, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1134567696
- Provider Enumeration Date: 06/06/2013
- Last Update Date: 04/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 2860759792
- Enrollment ID: I20171201001611
Medical Identifiers
Medical identifiers for Dena Rae Matalon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1134567696 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 208000000X | Pediatrics | MT203917 (Pennsylvania) | Secondary |
| 208000000X | Pediatrics | A152667 (California) | Secondary |
| 207SG0201X | Medical Genetics - Clinical Genetics (m.d.) | A152667 (California) | 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. Dena Rae Matalon allows following entities to bill medicare on her behalf.
| Entity Name | Stanford Health Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348 |
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| Entity Name | Lpch Medical Group Div Of Lucile |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232 |
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| Entity Name | Silicon Valley Medical Development Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164880761 PECOS PAC ID: 6103115183 Enrollment ID: O20160513001617 |
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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. Dena Rae Matalon 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 |
Dena Rae Matalon, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 | Dena Rae Matalon, MD 725 Welch Rd, Palo Alto, CA 94304-1601 Ph: (650) 497-8000 |
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