Dr Gossie Colette Heath Mathis, MD is a medicare enrolled "Internal Medicine - Adolescent Medicine" physician in Santee, South Carolina. Her current practice location is
130 Plaza Cir, Santee, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 854-3940.
Dr Gossie Colette Heath Mathis is licensed to practice in South Carolina (license number 13454) 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 1295856557.
Physician's Profile
| Full Name | Dr Gossie Colette Heath Mathis |
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| Gender | Female |
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| Speciality | Internal Medicine - Adolescent Medicine |
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| Location | 130 Plaza Cir, Santee, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295856557
- Provider Enumeration Date: 04/03/2007
- Last Update Date: 02/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 9436275641
- Enrollment ID: I20100924001026
Medical Identifiers
Medical identifiers for Dr Gossie Colette Heath Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295856557 | NPI | - | NPPES |
| GPO261 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RA0000X | Internal Medicine - Adolescent Medicine | 13454 (South Carolina) | 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. Dr Gossie Colette Heath Mathis allows following entities to bill medicare on her behalf.
| Entity Name | Santee Family Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932427168
PECOS PAC ID: 7315070265
Enrollment ID: O20100729000635 |
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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. Dr Gossie Colette Heath Mathis 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 |
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Dr Gossie Colette Heath Mathis, MD
Po Box 277,
Santee, SC 29142-0277
Ph: (803) 854-3940 | Dr Gossie Colette Heath Mathis, MD
130 Plaza Cir,
Santee, SC 29142-9630
Ph: (803) 854-3940 |
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