Cody Matson, in Coeur D Alene, ID - Medicare Nurse Practitioner

Cody Matson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Coeur D Alene, Idaho. His current practice location is 2199 W Ironwood Center Dr, Coeur D Alene, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 625-4888.

Cody Matson is licensed to practice in Washington (license number AP60967912) 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 1568974822.

Contact Information

	Cody Matson,
	2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639
	(208) 625-4888
	(208) 625-5734

Map and Direction

Provider's Profile

Full Name	Cody Matson
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2199 W Ironwood Center Dr, Coeur D Alene, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568974822
Provider Enumeration Date: 10/26/2017
Last Update Date: 05/20/2024

Medicare PECOS Information:

PECOS PAC ID: 4284983263
Enrollment ID: I20191107000561

Medical Identifiers

Medical identifiers for Cody Matson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1568974822	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	NP67131 (Idaho)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	G140540 (Iowa)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	NP67131 (Idaho)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP60967912 (Washington)	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. Cody Matson allows following entities to bill medicare on his behalf.

Entity Name	Multicare Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760

Entity Name	Spokane Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932698107 PECOS PAC ID: 2961757489 Enrollment ID: O20190117001282

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. Cody Matson 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
Cody Matson, 1312 N Monroe St Ste 271, Spokane, WA 99201-2623 Ph: (208) 718-2528	Cody Matson, 2199 W Ironwood Center Dr, Coeur D Alene, ID 83814-2639 Ph: (208) 625-4888

Reviews and Comments

Nurse Practitioner Nurses in Coeur D Alene, ID

Deborah Magnuson, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1090 W Park Pl, Coeur D Alene, ID 83814 Phone: 208-215-2005 Fax: 844-807-3782
Ms. Jayne S Shoda, MSN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1983 E Lookout Dr, Coeur D Alene, ID 83815 Phone: 208-964-0701
Mary Sandra Duff, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 920 W Ironwood Dr, Coeur D Alene, ID 83814 Phone: 208-667-4557 Fax: 208-765-2887
Sydney Elizabeth Disselkamp, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 378, Coeur D Alene, ID 83814 Phone: 208-625-3555 Fax: 208-769-8616
Ms. Kristina Marie Follger, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 980 W Ironwood Dr Ste 302, Coeur D Alene, ID 83814 Phone: 208-292-5437 Fax: 208-292-5441
Jared Edward Bruder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1110 W Park Pl Ste 320, Coeur D Alene, ID 83814 Phone: 208-261-2255
Robin Marie Beard, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 700 W Ironwood Dr Ste 120, Coeur D Alene, ID 83814 Phone: 208-625-3640 Fax: 208-625-3645

Cody Matson, - Medicare Nurse Practitioner in Coeur D Alene, ID