Dr Irene Matiatos, PHD is a
Psychologist - Clinical based in Biltmore Lake, North Carolina. Dr Irene Matiatos is licensed to practice in North Carolina (license number 3902) and her current practice location is
23 Silver Darter Ln, Biltmore Lake, North Carolina. She can be reached at her office (for appointments etc.) via phone at
(551) 206-3762.
NPI number for Dr Irene Matiatos is 1215000773 and her current mailing address is 23 Silver Darter Ln, Biltmore Lake, North Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215000773.
Healthcare Provider's Profile
| Full Name | Dr Irene Matiatos |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 23 Silver Darter Ln, Biltmore Lake, North Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1215000773
- Provider Enumeration Date: 11/15/2006
- Last Update Date: 09/23/2010
Medical Identifiers
Medical identifiers for Dr Irene Matiatos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215000773 | NPI | - | NPPES |
| S10778 | Other | NY | WORKERS COMPENSATION |
| 386523 | Other | NY | MVP |
| P570970 | Other | NY | OXFORD |
| 6802210 | Other | NY | GHI |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 010778-1 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 010778-1 (New York) | Secondary |
| 103TF0000X | Psychologist - Family | 010778-1 (New York) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3902 (North Carolina) | 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. Dr Irene Matiatos is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Irene Matiatos, PHD
23 Silver Darter Ln,
Biltmore Lake, NC 28715-9526
Ph: (551) 206-3762 | Dr Irene Matiatos, PHD
23 Silver Darter Ln,
Biltmore Lake, NC 28715-9526
Ph: (551) 206-3762 |
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