Andrea Christine Matzye, is a medicare enrolled "Social Worker" provider in Warren, Ohio. Her current practice location is
4930 Enterprise Dr Nw, Warren, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 787-0955.
Andrea Christine Matzye is licensed to practice in Ohio (license number S.1803026) 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 1780206540.
Healthcare Provider's Profile
| Full Name | Andrea Christine Matzye |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 4930 Enterprise Dr Nw, Warren, Ohio |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1780206540
- Provider Enumeration Date: 05/14/2020
- Last Update Date: 10/20/2020
Medicare PECOS Information:
- PECOS PAC ID: 2264977974
- Enrollment ID: I20240717001537
Medical Identifiers
Medical identifiers for Andrea Christine Matzye such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1780206540 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LCDCIII.161947 (Ohio) | Secondary |
| 104100000X | Social Worker | S.1803026 (Ohio) | 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. Andrea Christine Matzye allows following entities to bill medicare on her behalf.
| Entity Name | On Demand Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1093257859
PECOS PAC ID: 0941554133
Enrollment ID: O20181106001761 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220604000326 |
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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. Andrea Christine Matzye 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 |
|---|
Andrea Christine Matzye,
1719 N Carnegie Ave,
Niles, OH 44446-4005
Ph: () - | Andrea Christine Matzye,
4930 Enterprise Dr Nw,
Warren, OH 44481-8706
Ph: (330) 787-0955 |
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