Herbert Matanga, CNP is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent" in Rogers, Minnesota. His current practice location is
19427 136th Ave N, Rogers, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(763) 516-4476.
Herbert Matanga is licensed to practice in Minnesota (license number 11557) 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 1003664525.
Provider's Profile
| Full Name | Herbert Matanga |
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| Gender | Male |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent |
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| Location | 19427 136th Ave N, Rogers, Minnesota |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1003664525
- Provider Enumeration Date: 05/09/2024
- Last Update Date: 05/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 1254860091
- Enrollment ID: I20250123003724
Medical Identifiers
Medical identifiers for Herbert Matanga such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1003664525 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0807X | Clinical Nurse Specialist - Psychiatric/mental Health, Child & Adolescent | 11557 (Minnesota) | 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. Herbert Matanga allows following entities to bill medicare on his behalf.
| Entity Name | Integrated Wound Care Minnesota Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205390457
PECOS PAC ID: 2769722511
Enrollment ID: O20190314001268 |
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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. Herbert Matanga 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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Herbert Matanga, CNP
19427 136th Ave N,
Rogers, MN 55374-4834
Ph: (763) 516-4476 | Herbert Matanga, CNP
19427 136th Ave N,
Rogers, MN 55374-4834
Ph: (763) 516-4476 |
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