Patty Jo Mattox, CRNP in Baltimore, MD - Medicare Nurse Practitioner

Patty Jo Mattox, CRNP is a medicare enrolled "Nurse Practitioner" in Baltimore, Maryland. She graduated from nursing school in 1996 and has 29 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Johns Hopkins University, Johns Hopkins University and her current practice location is 4940 Eastern Ave, Baltimore, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 550-5633.

Patty Jo Mattox is licensed to practice in Maryland (license number R146293) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1104875293.

Contact Information

	Patty Jo Mattox, CRNP
	4940 Eastern Ave, Baltimore, MD 21224-2735
	(410) 550-5633
	Not Available

Map and Direction

Provider's Profile

Full Name	Patty Jo Mattox
Gender	Female
Speciality	Nurse Practitioner
Experience	29 Years
Location	4940 Eastern Ave, Baltimore, Maryland
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Patty Jo Mattox graduated from nursing school in 1996

NPI Data:

NPI Number: 1104875293
Provider Enumeration Date: 05/08/2006
Last Update Date: 01/25/2013

Medicare PECOS Information:

PECOS PAC ID: 9032154422
Enrollment ID: I20050926000249

Medical Identifiers

Medical identifiers for Patty Jo Mattox such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104875293	NPI	-	NPPES
718000400	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	R146293 (Maryland)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Johns Hopkins Bayview Medical Center	Baltimore, MD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Johns Hopkins University	4981745098	540
Johns Hopkins University	8921903147	2699

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. Patty Jo Mattox allows following entities to bill medicare on her behalf.

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922008549 PECOS PAC ID: 8921903147 Enrollment ID: O20031215000719

Entity Name	Johns Hopkins University
Entity Type	Part B Supplier - Hospital Department(s)
Entity Identifiers	NPI Number: 1902332133 PECOS PAC ID: 4981745098 Enrollment ID: O20170818000085

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. Patty Jo Mattox 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
Patty Jo Mattox, CRNP Po Box 64264, Baltimore, MD 21264-4264 Ph: (410) 933-4397	Patty Jo Mattox, CRNP 4940 Eastern Ave, Baltimore, MD 21224-2735 Ph: (410) 550-5633

Reviews and Comments

Nurse Practitioner Nurses in Baltimore, MD

Ms. Lindsay Bream O'meara, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 22 S Greene St, Suite S4d07, Baltimore, MD 21201 Phone: 410-328-3365
Mrs. Tamara Jeanne Setola, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7001 Johnnycake Rd Ste 101, Baltimore, MD 21244 Phone: 410-719-0063
Alison C Eissler, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 312 N. Martin Luther King Jr. Blvd, Suite 102, Baltimore, MD 21201 Phone: 610-716-0192
Mrs. Rebecca Delaney Tsao, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 98 North Broadway, Suite 421, Baltimore, MD 21231 Phone: 410-955-6211
Kamishia Latasha Thomas, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 601 N Caroline Street, Baltimore, MD 21264 Phone: 443-997-0270 Fax: 410-614-1168
Dana Aybout, ARNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 4940 Eastern Avenue, Baltimore, MD 21264 Phone: 410-550-5568 Fax: 410-550-0470
Andrew Brave, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Belvedere Ave, Baltimore, MD 21215 Phone: 410-601-9000

Patty Jo Mattox, CRNP - Medicare Nurse Practitioner in Baltimore, MD