Shawn Kakkathottathil Mathew, DO is a medicare enrolled "Allergy & Immunology" physician in Hollis, New York. He graduated from medical school in 2019 and has 7 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice North Shore-lij Medical Pc and his current practice location is
8814 198th St, Hollis, New York. You can reach out to his office (for appointments etc.) via phone at
(516) 253-4877.
Shawn Kakkathottathil Mathew is licensed to practice in New York (license number 318868) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1528521309.
Physician's Profile
| Full Name | Shawn Kakkathottathil Mathew |
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| Gender | Male |
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| Speciality | Internal Medicine |
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| Experience | 7 Years |
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| Location | 8814 198th St, Hollis, New York |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Shawn Kakkathottathil Mathew graduated from medical school in 2019
NPI Data:
- NPI Number: 1528521309
- Provider Enumeration Date: 04/09/2019
- Last Update Date: 02/02/2026
Medicare PECOS Information:
- PECOS PAC ID: 2668814963
- Enrollment ID: I20240531000203
Medical Identifiers
Medical identifiers for Shawn Kakkathottathil Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528521309 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 318868 (New York) | Secondary |
| 207K00000X | Allergy & Immunology | 318868 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| North Shore-lij Medical Pc | 3375701568 | 5625 |
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. Shawn Kakkathottathil Mathew allows following entities to bill medicare on his behalf.
| Entity Name | North Shore-lij Medical Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053688572
PECOS PAC ID: 3375701568
Enrollment ID: O20120220000262 |
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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. Shawn Kakkathottathil Mathew 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 |
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Shawn Kakkathottathil Mathew, DO
8814 198th St,
Hollis, NY 11423-2119
Ph: (516) 253-4877 | Shawn Kakkathottathil Mathew, DO
8814 198th St,
Hollis, NY 11423-2119
Ph: (516) 253-4877 |
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