Matthew David Proctor, MD is a medicare enrolled "Otolaryngology" physician in The Dalles, Oregon. He went to University Of Vermont College Of Medicine and graduated in 2001 and has 23 years of diverse experience with area of expertise as Otolaryngology. He is a member of the group practice Mid-columbia Medical Center and his current practice location is
1815 E 19th St, Ste 1, The Dalles, Oregon. You can reach out to his office (for appointments etc.) via phone at
(541) 298-5563.
Matthew David Proctor is licensed to practice in Oregon (license number MD27634) 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 1932127412.
Physician's Profile
| Full Name | Matthew David Proctor |
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| Gender | Male |
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| Speciality | Otolaryngology |
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| Experience | 23 Years |
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| Location | 1815 E 19th St, The Dalles, Oregon |
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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:
- Matthew David Proctor attended and graduated from University Of Vermont College Of Medicine in 2001
NPI Data:
- NPI Number: 1932127412
- Provider Enumeration Date: 07/17/2006
- Last Update Date: 01/25/2011
Medicare PECOS Information:
- PECOS PAC ID: 2466456488
- Enrollment ID: I20070911000116
Medical Identifiers
Medical identifiers for Matthew David Proctor such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1932127412 | NPI | - | NPPES |
| 274607 | Medicaid | OR | |
| 831523003 | Other | OR | REGENCE BLUE CROSS |
| 8491839 | Medicaid | WA | |
| P00436239 | Other | OR | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Y00000X | Otolaryngology | 36708 (Iowa) | Secondary |
| 207Y00000X | Otolaryngology | MD27634 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mid-columbia Medical Center | 3779487251 | 93 |
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. Matthew David Proctor allows following entities to bill medicare on his behalf.
| Entity Name | Mid-columbia Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053409599
PECOS PAC ID: 3779487251
Enrollment ID: O20031209000244 |
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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. Matthew David Proctor 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 |
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Matthew David Proctor, MD
1815 E 19th St, Ste 1,
The Dalles, OR 97058-3385
Ph: (541) 298-5563 | Matthew David Proctor, MD
1815 E 19th St, Ste 1,
The Dalles, OR 97058-3385
Ph: (541) 298-5563 |
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