Dr Matta Temujin Reddy, MD is a medicare enrolled "Hospitalist" physician in Lexington, South Carolina. His current practice location is
108 Heddon Dr, Lexington, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(484) 560-3506.
Dr Matta Temujin Reddy is licensed to practice in South Carolina (license number 88503) 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 1992264121.
Physician's Profile
| Full Name | Dr Matta Temujin Reddy |
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| Gender | Male |
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| Speciality | Hospitalist |
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| Location | 108 Heddon Dr, Lexington, 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: 1992264121
- Provider Enumeration Date: 03/18/2019
- Last Update Date: 03/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 7416331723
- Enrollment ID: I20220906003015
Medical Identifiers
Medical identifiers for Dr Matta Temujin Reddy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992264121 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 88503 (South Carolina) | Primary |
| 207Q00000X | Family Medicine | 88503 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | MD88503 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | 88503 (Rhode Island) | 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. Dr Matta Temujin Reddy allows following entities to bill medicare on his behalf.
| Entity Name | Prisma Health Medical Group-midlands |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275988321
PECOS PAC ID: 5991099707
Enrollment ID: O20160802001226 |
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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 Matta Temujin Reddy 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 |
|---|
Dr Matta Temujin Reddy, MD
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842
Ph: (864) 522-8603 | Dr Matta Temujin Reddy, MD
108 Heddon Dr,
Lexington, SC 29072-2457
Ph: (484) 560-3506 |
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