Matthew William Medina, CNM is a medicare enrolled "Advanced Practice Midwife" physician in Boston, Massachusetts. His current practice location is
850 Harrison Avenue, Yacc 5, Boston, Massachusetts. You can reach out to his office (for appointments etc.) via phone at
(617) 414-2000.
Matthew William Medina is licensed to practice in Massachusetts (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 1649835570.
Physician's Profile
| Full Name | Matthew William Medina |
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| Gender | Male |
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| Speciality | Advanced Practice Midwife |
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| Location | 850 Harrison Avenue, Boston, Massachusetts |
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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: 1649835570
- Provider Enumeration Date: 05/06/2019
- Last Update Date: 07/28/2021
Medicare PECOS Information:
- PECOS PAC ID: 2567792252
- Enrollment ID: I20190923002609
Medical Identifiers
Medical identifiers for Matthew William Medina such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1649835570 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207V00000X | Obstetrics & Gynecology | RN2264206 (Massachusetts) | Secondary |
| 363LX0001X | Nurse Practitioner - Obstetrics & Gynecology | RN2264206 (Massachusetts) | Secondary |
| 367A00000X | Advanced Practice Midwife | (Massachusetts) | Primary |
| 163W00000X | Registered Nurse | RN2264206 (Massachusetts) | 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 William Medina allows following entities to bill medicare on his behalf.
| Entity Name | Brigham & Womens Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790717650 PECOS PAC ID: 4385554732 Enrollment ID: O20040407000771 |
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| Entity Name | Boston University Obstetrics And Gynecology Foundation Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063459568 PECOS PAC ID: 1456323153 Enrollment ID: O20070525000149 |
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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 William Medina 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 William Medina, CNM 801 Albany Street, Fl Ground, Boston, MA 02119-3791 Ph: () - | Matthew William Medina, CNM 850 Harrison Avenue, Yacc 5, Boston, MA 02118-4001 Ph: (617) 414-2000 |
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