Matthew Patton Mindrup, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Godfrey, Illinois. His current practice location is
372 Hand Dr, Godfrey, Illinois. You can reach out to his office (for appointments etc.) via phone at
(636) 327-1219.
Matthew Patton Mindrup is licensed to practice in Missouri (license number 2016008413) 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 1659725422.
Healthcare Provider's Profile
Full Name | Matthew Patton Mindrup |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 372 Hand Dr, Godfrey, Illinois |
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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: 1659725422
- Provider Enumeration Date: 04/19/2016
- Last Update Date: 04/19/2016
Medicare PECOS Information:
- PECOS PAC ID: 2163700618
- Enrollment ID: I20161103001191
Medical Identifiers
Medical identifiers for Matthew Patton Mindrup such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659725422 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2016008413 (Missouri) | 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. Matthew Patton Mindrup allows following entities to bill medicare on his behalf.
Entity Name | Ssm Health Care St Louis |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275586174 PECOS PAC ID: 7810800737 Enrollment ID: O20031118000393 |
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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. Matthew Patton Mindrup 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 |
Matthew Patton Mindrup, LCSW 372 Hand Dr, Godfrey, IL 62035-1915 Ph: (636) 327-1219 | Matthew Patton Mindrup, LCSW 372 Hand Dr, Godfrey, IL 62035-1915 Ph: (636) 327-1219 |
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