Mr King Hamazongo Matulula, CRNP is a medicare enrolled "Nurse Practitioner - Family" in Pleasant Hills, Pennsylvania. His current practice location is
455 E Bruceton Rd, Pleasant Hills, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(412) 653-9515.
Mr King Hamazongo Matulula is licensed to practice in Pennsylvania (license number SP023478) 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 1346994837.
Provider's Profile
Full Name | Mr King Hamazongo Matulula |
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Gender | Male |
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Speciality | Nurse Practitioner - Family |
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Location | 455 E Bruceton Rd, Pleasant Hills, Pennsylvania |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1346994837
- Provider Enumeration Date: 02/04/2022
- Last Update Date: 02/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 2062898067
- Enrollment ID: I20250520000185
Medical Identifiers
Medical identifiers for Mr King Hamazongo Matulula such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346994837 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | SP023478 (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. Mr King Hamazongo Matulula allows following entities to bill medicare on his behalf.
Entity Name | Sanjay Bharti Md, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1962532549 PECOS PAC ID: 8224171251 Enrollment ID: O20230613001016 |
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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. Mr King Hamazongo Matulula 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 |
Mr King Hamazongo Matulula, CRNP 557 Hi Tor Dr, Pittsburgh, PA 15236-4203 Ph: (412) 260-4580 | Mr King Hamazongo Matulula, CRNP 455 E Bruceton Rd, Pleasant Hills, PA 15236-4538 Ph: (412) 653-9515 |
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