Enrique L Matallana, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Houston, Texas. His current practice location is
2800 S Macgregor Way, Houston, Texas. You can reach out to his office (for appointments etc.) via phone at
(713) 741-5000.
Enrique L Matallana is licensed to practice in Texas (license number 34220) 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 1295823946.
Healthcare Provider's Profile
| Full Name | Enrique L Matallana |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 2800 S Macgregor Way, Houston, Texas |
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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: 1295823946
- Provider Enumeration Date: 10/10/2006
- Last Update Date: 08/27/2007
Medicare PECOS Information:
- PECOS PAC ID: 7113029869
- Enrollment ID: I20070227000088
Medical Identifiers
Medical identifiers for Enrique L Matallana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295823946 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 34220 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34220 (Texas) | 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. Enrique L Matallana allows following entities to bill medicare on his behalf.
| Entity Name | Ut Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033157821
PECOS PAC ID: 8426960360
Enrollment ID: O20031107000268 |
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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. Enrique L Matallana 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 |
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Enrique L Matallana, LCSW
2800 S Macgregor Way,
Houston, TX 77021-1032
Ph: (713) 741-5000 | Enrique L Matallana, LCSW
2800 S Macgregor Way,
Houston, TX 77021-1032
Ph: (713) 741-5000 |
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