Deepa Mary Mathew, RN in Allen, TX - Medicare Registered Nurse

Deepa Mary Mathew, RN is a medicare enrolled "Registered Nurse - School" in Allen, Texas. Her current practice location is 1719 Shawnee Trail, Allen, Texas. You can reach out to her office (for appointments etc.) via phone at (972) 971-9216.

Deepa Mary Mathew is licensed to practice in Pennsylvania (license number 712388) 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 1235779422.

Contact Information

	Deepa Mary Mathew, RN
	1719 Shawnee Trail, Allen, TX 75002
	(972) 971-9216
	Not Available

Map and Direction

Provider's Profile

Full Name	Deepa Mary Mathew
Gender	Female
Speciality	Registered Nurse - School
Location	1719 Shawnee Trail, Allen, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235779422
Provider Enumeration Date: 01/15/2020
Last Update Date: 01/15/2020

Medicare PECOS Information:

PECOS PAC ID: 8527430362
Enrollment ID: I20230204000324

Medical Identifiers

Medical identifiers for Deepa Mary Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235779422	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WS0200X	Registered Nurse - School	712388 (Pennsylvania)	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. Deepa Mary Mathew allows following entities to bill medicare on her behalf.

Entity Name	University Of Pittsburgh Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619935004 PECOS PAC ID: 8729990239 Enrollment ID: O20040308000883

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. Deepa Mary 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
Deepa Mary Mathew, RN 1719 Shawnee Trail, Allen, TX 75002 Ph: (972) 971-9216	Deepa Mary Mathew, RN 1719 Shawnee Trail, Allen, TX 75002 Ph: (972) 971-9216

Reviews and Comments

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Deepa Mary Mathew, RN - Medicare Registered Nurse in Allen, TX