Dr Jennifer Berry Matthesen, MD is a
Plastic Surgery physician based in Ponte Vedra, Florida. Dr Jennifer Berry Matthesen is licensed to practice in Florida (license number ME132012) and her current practice location is 380 Town Plaza Ave Ste 410, Ponte Vedra, Florida. She can be reached at her office (for appointments etc.) via phone at
(904) 285-7202.
NPI number for Dr Jennifer Berry Matthesen is 1174931463 and her current mailing address is 112 Bristol Pl, Ponte Vedra Beach, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1174931463.
Physician's Profile
| Full Name | Dr Jennifer Berry Matthesen |
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| Gender | Female |
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| Speciality | Plastic Surgery |
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| Location | 380 Town Plaza Ave Ste 410, Ponte Vedra, Florida |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174931463
- Provider Enumeration Date: 07/30/2014
- Last Update Date: 04/28/2026
Medical Identifiers
Medical identifiers for Dr Jennifer Berry Matthesen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174931463 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 53345 (Connecticut) | Secondary |
| 208600000X | Surgery | 277360 (New York) | Secondary |
| 208200000X | Plastic Surgery | ME132012 (Florida) | Primary |
| 208600000X | Surgery | A83217 (California) | Secondary |
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 Jennifer Berry Matthesen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Jennifer Berry Matthesen, MD
112 Bristol Pl,
Ponte Vedra Beach, FL 32082-1523
Ph: (904) 395-3714 | Dr Jennifer Berry Matthesen, MD
380 Town Plaza Ave Ste 410,
Ponte Vedra, FL 32081-5177
Ph: (904) 285-7202 |
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