Dr Prakash Joel Mathew, MD, MBA is a medicare enrolled "Plastic Surgery" physician in Phildelphia, Pennsylvania. He graduated from medical school in 2013 and has 12 years of diverse experience with area of expertise as Plastic And Reconstructive Surgery. He is a member of the group practice Virtua Medical Group, Pa and his current practice location is
3400 Spruce St, Phildelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(215) 662-2096.
Dr Prakash Joel Mathew is licensed to practice in Pennsylvania (license number MD473789) 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 1356698013.
Physician's Profile
| Full Name | Dr Prakash Joel Mathew |
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| Gender | Male |
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| Speciality | Plastic And Reconstructive Surgery |
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| Experience | 12 Years |
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| Location | 3400 Spruce St, Phildelphia, Pennsylvania |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Prakash Joel Mathew graduated from medical school in 2013
NPI Data:
- NPI Number: 1356698013
- Provider Enumeration Date: 08/12/2012
- Last Update Date: 11/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981968617
- Enrollment ID: I20220714000632
Medical Identifiers
Medical identifiers for Dr Prakash Joel Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1356698013 | NPI | - | NPPES |
| 0856983 | Medicaid | NJ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208200000X | Plastic Surgery | 25MA11102600 (New Jersey) | Secondary |
| 208200000X | Plastic Surgery | MD473789 (Pennsylvania) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Virtua Medical Group, Pa | 9830222397 | 1498 |
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 Prakash Joel Mathew allows following entities to bill medicare on his behalf.
| Entity Name | Virtua Medical Group, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649226515
PECOS PAC ID: 9830222397
Enrollment ID: O20100804000338 |
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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 Prakash Joel Mathew 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 Prakash Joel Mathew, MD, MBA
3400 Spruce St,
Phildelphia, PA 19104-4206
Ph: (215) 662-2096 | Dr Prakash Joel Mathew, MD, MBA
3400 Spruce St,
Phildelphia, PA 19104-4206
Ph: (215) 662-2096 |
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