Dexter Mata Caldona, in Passaic, NJ - Medicare Nurse Practitioner

Dexter Mata Caldona, is a medicare enrolled "Nurse Practitioner" in Passaic, New Jersey. His current practice location is 39 Aycrigg Ave, Passaic, New Jersey. You can reach out to his office (for appointments etc.) via phone at (973) 981-0476.

Dexter Mata Caldona is licensed to practice in New Jersey (license number 26NJ00636200) 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 1114415155.

Contact Information

	Dexter Mata Caldona,
	39 Aycrigg Ave, Passaic, NJ 07055-5664
	(973) 981-0476
	Not Available

Map and Direction

Provider's Profile

Full Name	Dexter Mata Caldona
Gender	Male
Speciality	Nurse Practitioner
Location	39 Aycrigg Ave, Passaic, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114415155
Provider Enumeration Date: 04/25/2018
Last Update Date: 04/25/2018

Medicare PECOS Information:

PECOS PAC ID: 7618221201
Enrollment ID: I20181119000432

Medical Identifiers

Medical identifiers for Dexter Mata Caldona such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114415155	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	26NJ00636200 (New Jersey)	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. Dexter Mata Caldona allows following entities to bill medicare on his behalf.

Entity Name	Kane Wound Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275869802 PECOS PAC ID: 2567591274 Enrollment ID: O20100518000684

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. Dexter Mata Caldona 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
Dexter Mata Caldona, 39 Aycrigg Ave, Passaic, NJ 07055-5664 Ph: (973) 981-0476	Dexter Mata Caldona, 39 Aycrigg Ave, Passaic, NJ 07055-5664 Ph: (973) 981-0476

Reviews and Comments

Nurse Practitioner Nurses in Passaic, NJ

Esther Noble, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 154 Main Ave, Passaic, NJ 07055 Phone: 973-437-3333
Dr. Marie Ann Addesa, APN, D.C. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 647 Main Ave Ste 202, Passaic, NJ 07055 Phone: 973-778-2300
Cesar Valentin I, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 913 Main Avenue, Passaic, NJ 07055 Phone: 973-458-8000 Fax: 973-458-8425
Mounir Bachiri, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 140 Passaic Ave, Passaic, NJ 07055 Phone: 973-777-8900
Kevin Suttles, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 293 Passaic St, Passaic, NJ 07055 Phone: 973-916-0002 Fax: 973-371-2543
Daiana Guerrero, ANP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 394 Broadway Ste 100, Passaic, NJ 07055 Phone: 973-572-1035 Fax: 973-547-7872

Dexter Mata Caldona, - Medicare Nurse Practitioner in Passaic, NJ