Matthew Dubose, MD is a medicare enrolled "Orthopaedic Surgery" physician in Bethlehem, Georgia. His current practice location is
990 Loganville Hwy Ste 102, Bethlehem, Georgia. You can reach out to his office (for appointments etc.) via phone at
(770) 848-6190.
Matthew Dubose is licensed to practice in Georgia (license number 99089) 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 1962974287.
Physician's Profile
Full Name | Matthew Dubose |
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Gender | Male |
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Speciality | Orthopaedic Surgery |
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Location | 990 Loganville Hwy Ste 102, Bethlehem, Georgia |
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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: 1962974287
- Provider Enumeration Date: 12/27/2018
- Last Update Date: 08/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 4789913724
- Enrollment ID: I20240708003390
Medical Identifiers
Medical identifiers for Matthew Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962974287 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 99089 (Georgia) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (Georgia) | Secondary |
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 Dubose allows following entities to bill medicare on his behalf.
Entity Name | Hughston Clinic Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1164461190 PECOS PAC ID: 1355254780 Enrollment ID: O20040102000796 |
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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 Dubose 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 |
Matthew Dubose, MD Po Box 742616, Atlanta, GA 30374-2616 Ph: (770) 219-8420 | Matthew Dubose, MD 990 Loganville Hwy Ste 102, Bethlehem, GA 30620-2175 Ph: (770) 848-6190 |
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