Matthew Tyler Whitbord, PA-C is a medicare enrolled "Physician Assistant" physician in Santa Barbara, California. His current practice location is
2921 De La Vina St, Santa Barbara, California. You can reach out to his office (for appointments etc.) via phone at
(805) 770-3999.
Matthew Tyler Whitbord is licensed to practice in California (license number 54839) 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 1861911570.
Physician's Profile
Full Name | Matthew Tyler Whitbord |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 2921 De La Vina St, Santa Barbara, California |
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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: 1861911570
- Provider Enumeration Date: 09/13/2017
- Last Update Date: 12/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 8022370915
- Enrollment ID: I20180312001627
Medical Identifiers
Medical identifiers for Matthew Tyler Whitbord such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861911570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207NS0135X | Dermatology - Procedural Dermatology | 1841216082 (California) | Secondary |
363A00000X | Physician Assistant | 54839 (California) | 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. Matthew Tyler Whitbord 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 Tyler Whitbord, PA-C 2921 De La Vina St, Santa Barbara, CA 93105-3309 Ph: (805) 770-3999 | Matthew Tyler Whitbord, PA-C 2921 De La Vina St, Santa Barbara, CA 93105-3309 Ph: (805) 770-3999 |
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