Dr Matthew Joseph Van Dongen, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. His current practice location is
3615 Chestnut St, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 898-9402.
Dr Matthew Joseph Van Dongen is licensed to practice in Pennsylvania (license number MT226890) 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 1003379736.
Physician's Profile
Full Name | Dr Matthew Joseph Van Dongen |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 3615 Chestnut St, Philadelphia, Pennsylvania |
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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: 1003379736
- Provider Enumeration Date: 04/10/2019
- Last Update Date: 07/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 5294077897
- Enrollment ID: I20230622001159
Medical Identifiers
Medical identifiers for Dr Matthew Joseph Van Dongen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1003379736 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | MD478735 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | MT226890 (Pennsylvania) | 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 Matthew Joseph Van Dongen allows following entities to bill medicare on his behalf.
Entity Name | University Of Penn - Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053447151 PECOS PAC ID: 6204730955 Enrollment ID: O20150304001436 |
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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 Matthew Joseph Van Dongen 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 Matthew Joseph Van Dongen, MD 3615 Chestnut St, Philadelphia, PA 19104-2612 Ph: () - | Dr Matthew Joseph Van Dongen, MD 3615 Chestnut St, Philadelphia, PA 19104-2612 Ph: (215) 898-9402 |
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