Robert John Matejka, DO is a medicare enrolled "Anesthesiology" physician in West Valley, Utah. His current practice location is
3460 Pioneer Pkwy, West Valley, Utah. You can reach out to his office (for appointments etc.) via phone at
(801) 993-9526.
Robert John Matejka is licensed to practice in Utah (license number 319892-1204) 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 1669577573.
Physician's Profile
| Full Name | Robert John Matejka |
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| Gender | Male |
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| Speciality | Anesthesiology |
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| Location | 3460 Pioneer Pkwy, West Valley, Utah |
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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: 1669577573
- Provider Enumeration Date: 09/14/2006
- Last Update Date: 12/05/2019
Medicare PECOS Information:
- PECOS PAC ID: 2163319732
- Enrollment ID: I20040301000245
Medical Identifiers
Medical identifiers for Robert John Matejka such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1669577573 | NPI | - | NPPES |
| 700 | Other | UT | HEALTHY U |
| 224510 | Other | UT | ALTIUS |
| 607111900 | Other | UT | US DEPT OF LABOR |
| 1020088 | Medicaid | UT | |
| PRA01843 | Other | UT | MOLINA |
| 609345 | Other | UT | DESERET MUTUAL |
| 107007846103 | Other | UT | IHC |
| 81627 | Other | UT | PEHP |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207L00000X | Anesthesiology | 319892-1204 (Utah) | 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. Robert John Matejka allows following entities to bill medicare on his behalf.
| Entity Name | Eye Institute Of Utah Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366515041 PECOS PAC ID: 3678556438 Enrollment ID: O20040825001284 |
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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. Robert John Matejka 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 |
Robert John Matejka, DO 2146 Powderkeg Dr, Sandy, UT 84093-1784 Ph: (801) 944-8866 | Robert John Matejka, DO 3460 Pioneer Pkwy, West Valley, UT 84120-2049 Ph: (801) 993-9526 |
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