Kirsten Ariel Matala, LISW is a medicare enrolled "Social Worker - Clinical" provider in Cincinnati, Ohio. Her current practice location is
446 Morgan St, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at
(513) 834-7063.
Kirsten Ariel Matala is licensed to practice in Ohio (license number I.2405731) 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 1114421468.
Healthcare Provider's Profile
| Full Name | Kirsten Ariel Matala |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 446 Morgan St, Cincinnati, 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: 1114421468
- Provider Enumeration Date: 03/21/2018
- Last Update Date: 08/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 3375074750
- Enrollment ID: I20241009003429
Medical Identifiers
Medical identifiers for Kirsten Ariel Matala such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1114421468 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CDCA.168743 (Ohio) | Secondary |
| 104100000X | Social Worker | I.2405731 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2405731 (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. Kirsten Ariel Matala allows following entities to bill medicare on her behalf.
| Entity Name | Brightview Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1659769446
PECOS PAC ID: 9032426044
Enrollment ID: O20150923000820 |
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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. Kirsten Ariel Matala 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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Kirsten Ariel Matala, LISW
4600 Montgomery Rd Ste 400,
Cincinnati, OH 45212-2600
Ph: (833) 510-4357 | Kirsten Ariel Matala, LISW
446 Morgan St,
Cincinnati, OH 45206-2348
Ph: (513) 834-7063 |
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