Dr Vishaaq Mathew, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Philadelphia, Pennsylvania. His current practice location is
3401 Civic Center Blvd, Philadelphia, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(800) 879-2467.
Dr Vishaaq Mathew is licensed to practice in * (Not Available) (license number ) 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 1568040111.
Physician's Profile
Full Name | Dr Vishaaq Mathew |
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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 | 3401 Civic Center Blvd, 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: 1568040111
- Provider Enumeration Date: 04/01/2021
- Last Update Date: 07/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 5597167239
- Enrollment ID: I20210716002291
Medical Identifiers
Medical identifiers for Dr Vishaaq Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568040111 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207LP3000X | Anesthesiology - Pediatric Anesthesiology | OT024074 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
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 Vishaaq 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 Vishaaq Mathew, DO 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: () - | Dr Vishaaq Mathew, DO 3401 Civic Center Blvd, Philadelphia, PA 19104-4319 Ph: (800) 879-2467 |
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