Dr Philip Alexander Mataverde, DO in Portage, MI

Dr Philip Alexander Mataverde, DO is a medicare enrolled "Internal Medicine - Sleep Medicine" physician in Portage, Michigan. He went to Michigan State University College Of Osteopathic Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Sleep Medicine. He is a member of the group practice Bronson Methodist Hospital and his current practice location is 3200 W Centre Ave Ste 203, Portage, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 349-9745.

Dr Philip Alexander Mataverde is licensed to practice in Michigan (license number 5101017269) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992996458.

Contact Information

	Dr Philip Alexander Mataverde, DO
	3200 W Centre Ave Ste 203, Portage, MI 49024-4889
	(269) 349-9745
	Not Available

Map and Direction

Physician's Profile

Full Name	Dr Philip Alexander Mataverde
Gender	Male
Speciality	Sleep Medicine
Experience	17 Years
Location	3200 W Centre Ave Ste 203, Portage, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Philip Alexander Mataverde attended and graduated from Michigan State University College Of Osteopathic Medicine in 2007

NPI Data:

NPI Number: 1992996458
Provider Enumeration Date: 08/08/2007
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6507022043
Enrollment ID: I20200818002038

Medical Identifiers

Medical identifiers for Dr Philip Alexander Mataverde such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992996458	NPI	-	NPPES
P01092598	Other	MO	RAILROAD MEDICARE PTAN
1992996458	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084N0400X	Psychiatry & Neurology - Neurology	L1865858 (Michigan)	Secondary
2084N0400X	Psychiatry & Neurology - Neurology	2012020702 (Missouri)	Secondary
2084S0012X	Psychiatry & Neurology - Sleep Medicine	2012020702 (Missouri)	Secondary
207RS0012X	Internal Medicine - Sleep Medicine	5101017269 (Michigan)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Bronson Battle Creek Hospital	Battle creek, MI	Hospital
Bronson Methodist Hospital	Kalamazoo, MI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Bronson Methodist Hospital	0244148633	598

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 Philip Alexander Mataverde allows following entities to bill medicare on his behalf.

Entity Name	Bronson Methodist Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417961137 PECOS PAC ID: 0244148633 Enrollment ID: O20031208000832

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 Philip Alexander Mataverde 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 Philip Alexander Mataverde, DO 3200 W Centre Ave Ste 203, Portage, MI 49024-4889 Ph: () -	Dr Philip Alexander Mataverde, DO 3200 W Centre Ave Ste 203, Portage, MI 49024-4889 Ph: (269) 349-9745

Reviews and Comments

Internal Medicine Doctors in Portage, MI

William Francis Hanavan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3304 Cooley Ct, Portage, MI 49024 Phone: 269-349-2266 Fax: 269-349-0792
Dr. Sarah Anne Wasserman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3304 Cooley Ct, Portage, MI 49024 Phone: 269-349-2266 Fax: 269-349-0792
Priyanka Bikkina, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7901 S 12th St Ste 200, Portage, MI 49024 Phone: 269-341-8585
Jeffrey M Coppinger, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 W Centre Ave, Portage, MI 49024 Phone: 269-324-4141 Fax: 269-324-2020
Jaroslaw P Siwik, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 W Centre Ave, Bronson Internal Medicine Associates, Portage, MI 49024 Phone: 269-324-4141 Fax: 269-324-2020
Dr. Deborah Esteves, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 7895 Currier Dr, Portage, MI 49002 Phone: 269-324-8670 Fax: 269-321-7154
Todd J White, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2600 W Centre Ave, Bronson Internal Medicine Associates, Portage, MI 49024 Phone: 269-324-4141 Fax: 269-324-2020

Dr Philip Alexander Mataverde, DO - Medicare Sleep Medicine in Portage, MI