Mr Matthew W Pritikin, PMHNP-BC in Port St Lucie, FL

Mr Matthew W Pritikin, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Port St Lucie, Florida. His current practice location is 2550 Se Walton Rd, Port St Lucie, Florida. You can reach out to his office (for appointments etc.) via phone at (772) 335-0400.

Mr Matthew W Pritikin is licensed to practice in Florida (license number 11037179) 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 1942838412.

Contact Information

	Mr Matthew W Pritikin, PMHNP-BC
	2550 Se Walton Rd, Port St Lucie, FL 34952-7168
	(772) 335-0400
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Matthew W Pritikin
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	2550 Se Walton Rd, Port St Lucie, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942838412
Provider Enumeration Date: 03/31/2020
Last Update Date: 02/17/2025

Medicare PECOS Information:

PECOS PAC ID: 9537699640
Enrollment ID: I20250204003956

Medical Identifiers

Medical identifiers for Mr Matthew W Pritikin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942838412	NPI	-	NPPES
9372893	Other	FL	FLORIDA BOARD OF HEALTH/NURSING
11037179	Other	FL	FLORIDA BOARD OF NURSING/ APRN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	9372893 (Florida)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	11037179 (Florida)	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 Matthew W Pritikin allows following entities to bill medicare on his behalf.

Entity Name	Mcr Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213

Entity Name	Balanced Wellbeing Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336513639 PECOS PAC ID: 5193021848 Enrollment ID: O20160307002587

Entity Name	Learning To Achieve Wellness Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033849575 PECOS PAC ID: 9234514464 Enrollment ID: O20220923001265

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 Matthew W Pritikin 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 Matthew W Pritikin, PMHNP-BC 789 Sw Tulip Blvd, Port Saint Lucie, FL 34953-3306 Ph: (954) 701-0478	Mr Matthew W Pritikin, PMHNP-BC 2550 Se Walton Rd, Port St Lucie, FL 34952-7168 Ph: (772) 335-0400

Reviews and Comments

Nurse Practitioner Nurses in Port St Lucie, FL

Ms. Shelly Amanda Mosely, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2550 Se Walton Rd, Port St Lucie, FL 34952 Phone: 772-335-0400
Anne-maria Hofmann Douglas, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1850 Sw Fountainview Blvd Ste 105, Port St Lucie, FL 34986 Phone: 772-336-2818 Fax: 772-336-5313
Ramona Loutos, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1729 Se Dominic Ave, Port St Lucie, FL 34952 Phone: 772-359-1398 Fax: 888-221-8008
Remi Dieujuste, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1226 Se Port St Lucie Blvd, Port St Lucie, FL 34952 Phone: 772-666-1801
Diana Isabel Clavijo, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7549 Nw Greenspring St, Port St Lucie, FL 34987 Phone: 954-274-5691
Kellie Collins, A.R.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4516 Sw Yamada Dr, Port St Lucie, FL 34953 Phone: 772-336-2161
Marie Remy, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1362 Sw Bayshore Blvd, Port St Lucie, FL 34983 Phone: 772-873-5213 Fax: 772-873-5215

Mr Matthew W Pritikin, PMHNP-BC - Medicare Nurse Practitioner in Port St Lucie, FL