Dr Joshua Matlack, PSYD in Grandville, MI - Medicare Clinical Psychologist Provider

Dr Joshua Matlack, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Grandville, Michigan. He graduated from medical school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Pine Rest Christian Mental Health Services and his current practice location is 4211 Parkway Place Dr Sw, Grandville, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 222-3700.

Dr Joshua Matlack is licensed to practice in Michigan (license number 6301018991) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1063067304.

Contact Information

	Dr Joshua Matlack, PSYD
	4211 Parkway Place Dr Sw, Grandville, MI 49418-2695
	(616) 222-3700
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Joshua Matlack
Gender	Male
Speciality	Clinical Psychologist
Experience	8 Years
Location	4211 Parkway Place Dr Sw, Grandville, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Joshua Matlack graduated from medical school in 2017

NPI Data:

NPI Number: 1063067304
Provider Enumeration Date: 08/05/2019
Last Update Date: 05/14/2025

Medicare PECOS Information:

PECOS PAC ID: 9830588102
Enrollment ID: I20211109000597

Medical Identifiers

Medical identifiers for Dr Joshua Matlack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063067304	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6351004338 (Michigan)	Secondary
103TC0700X	Psychologist - Clinical	6301018991 (Michigan)	Primary
103T00000X	Psychologist	6301017942 (Michigan)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pine Rest Christian Mental Health Services	4981506508	328

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. Dr Joshua Matlack allows following entities to bill medicare on his behalf.

Entity Name	Pine Rest Christian Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149

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 Joshua Matlack 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
Dr Joshua Matlack, PSYD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: () -	Dr Joshua Matlack, PSYD 4211 Parkway Place Dr Sw, Grandville, MI 49418-2695 Ph: (616) 222-3700

Reviews and Comments

Psychologist in Grandville, MI

Brendan Mcneilly, MD Psychologist Medicare: Medicare Enrolled Practice Location: 4211 Parkway Place Dr Sw Ste 100, Grandville, MI 49418 Phone: 616-222-3700
Maha Baalbaki, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4565 Wilson Ave Sw Ste 4a, Grandville, MI 49418 Phone: 616-591-9400
Jamie Leigh Wieber, PH.D., LLP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4211 Parkway Place, Grandville, MI 49418 Phone: 616-222-3700
Kristin M Mecklenburg, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4175 Parkway Place Dr Sw Ste 100, Grandville, MI 49418 Phone: 616-371-5166
Mr. Tommie Earl Johnson, LLMSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3584 Fairlanes Ave Sw Ste 2, Grandville, MI 49418 Phone: 616-222-5300 Fax: 616-531-0447
Dr. Abraham Bilyeu, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4565 Wilson Ave Sw, Grandville, MI 49418 Phone: 616-528-0354

Dr Joshua Matlack, PSYD - Medicare Psychologist in Grandville, MI