Mykenzie Lauren Mattheis, DO in Lodi, CA - Medicare Obstetrics & Gynecology

Mykenzie Lauren Mattheis, DO is a medicare enrolled "Obstetrics & Gynecology" physician in Lodi, California. Her current practice location is 999 S Fairmont Ave Ste 200, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (209) 334-3333.

Mykenzie Lauren Mattheis is licensed to practice in California (license number 20A21012) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1992266464.

Contact Information

	Mykenzie Lauren Mattheis, DO
	999 S Fairmont Ave Ste 200, Lodi, CA 95240-5141
	(209) 334-3333
	Not Available

Map and Direction

Physician's Profile

Full Name	Mykenzie Lauren Mattheis
Gender	Female
Speciality	Obstetrics & Gynecology
Location	999 S Fairmont Ave Ste 200, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1992266464
Provider Enumeration Date: 03/27/2019
Last Update Date: 09/08/2025

Medicare PECOS Information:

PECOS PAC ID: 4385043272
Enrollment ID: I20230920000110

Medical Identifiers

Medical identifiers for Mykenzie Lauren Mattheis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1992266464	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	20A21012 (California)	Primary

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. Mykenzie Lauren Mattheis allows following entities to bill medicare on her behalf.

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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. Mykenzie Lauren Mattheis 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
Mykenzie Lauren Mattheis, DO Po Box 255228, Sacramento, CA 95865-5228 Ph: () -	Mykenzie Lauren Mattheis, DO 999 S Fairmont Ave Ste 200, Lodi, CA 95240-5141 Ph: (209) 334-3333

Reviews and Comments

Obstetrics & Gynecology Doctors in Lodi, CA

Manjeet K Bryson, NP RN Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 999 South Fairmont Ste 225, P Gill Obstetrics & Gynecology Medical Grp Inc, Lodi, CA 95240 Phone: 209-334-3343 Fax: 209-334-1430
Philip A Dodd, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Suite 200, Lodi, CA 95240 Phone: 209-334-3333 Fax: 209-369-2641
Robert Glenn Howen, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Ste 200, Lodi, CA 95240 Phone: 209-334-3333
Leslie D Sackschewsky, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Suite 200, Lodi, CA 95240 Phone: 209-334-3333 Fax: 209-369-2641
Carol Lynn Nakashima, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 999 S Fairmont Ave, Ste 200, Lodi, CA 95240 Phone: 209-334-3333 Fax: 209-369-2641
Dr. Kimberley E Fillmore, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 999 S Fairmont Ave, Ste. 230, Lodi, CA 95240 Phone: 209-334-4924 Fax: 209-334-0127
Dr. Peter Kyung-sun Yang, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1103 Rivergate Dr, Lodi, CA 95240 Phone: 209-334-6593

Mykenzie Lauren Mattheis, DO - Medicare Obstetrics & Gynecology in Lodi, CA