Lisa Philip Mathew, NP-C in Fort Worth, TX - Medicare Nurse Practitioner

Lisa Philip Mathew, NP-C is a medicare enrolled "Nurse Practitioner" in Fort Worth, Texas. Her current practice location is 1902 Windsor Pl Ste 102, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at (682) 207-1700.

Lisa Philip Mathew is licensed to practice in Texas (license number AP124548) 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 1043645476.

Contact Information

	Lisa Philip Mathew, NP-C
	1902 Windsor Pl Ste 102, Fort Worth, TX 76110-1866
	(682) 207-1700
	(682) 250-5246

Map and Direction

Provider's Profile

Full Name	Lisa Philip Mathew
Gender	Female
Speciality	Nurse Practitioner
Location	1902 Windsor Pl Ste 102, Fort Worth, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043645476
Provider Enumeration Date: 09/04/2013
Last Update Date: 03/25/2021

Medicare PECOS Information:

PECOS PAC ID: 6406915800
Enrollment ID: I20140102000517

Medical Identifiers

Medical identifiers for Lisa Philip Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043645476	NPI	-	NPPES
328172704	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP124548 (Texas)	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. Lisa Philip Mathew allows following entities to bill medicare on her behalf.

Entity Name	Acclaim Physician Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780076562 PECOS PAC ID: 4587963582 Enrollment ID: O20160426000707

Entity Name	Np Procare, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285273854 PECOS PAC ID: 9436557170 Enrollment ID: O20211008002883

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. Lisa Philip 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
Lisa Philip Mathew, NP-C 1902 Windsor Pl Ste 102, Fort Worth, TX 76110-1866 Ph: (682) 207-1700	Lisa Philip Mathew, NP-C 1902 Windsor Pl Ste 102, Fort Worth, TX 76110-1866 Ph: (682) 207-1700

Reviews and Comments

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Mary Agnes Johnson, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1400 8th Ave, Fort Worth, TX 76104 Phone: 817-922-7070
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Lisa Philip Mathew, NP-C - Medicare Nurse Practitioner in Fort Worth, TX