Nicolena Marie Matthews, is a medicare enrolled "Physician Assistant" in Fayette City, Pennsylvania. Her current practice location is
429 Newell Rd, Fayette City, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(724) 317-8941.
Nicolena Marie Matthews is licensed to practice in Pennsylvania (license number MA065618) 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 1417793423.
Provider's Profile
Full Name | Nicolena Marie Matthews |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 429 Newell Rd, Fayette City, 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: 1417793423
- Provider Enumeration Date: 07/08/2024
- Last Update Date: 03/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 0547782591
- Enrollment ID: I20250319001084
Medical Identifiers
Medical identifiers for Nicolena Marie Matthews such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417793423 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | MA065618 (Pennsylvania) | Primary |
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. Nicolena Marie Matthews 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 |
Nicolena Marie Matthews, 429 Newell Rd, Fayette City, PA 15438-1157 Ph: (724) 317-8941 | Nicolena Marie Matthews, 429 Newell Rd, Fayette City, PA 15438-1157 Ph: (724) 317-8941 |
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