Marlena Nicole Matusewicz, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Charlotte, North Carolina. She graduated from healthcare school in 2011 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Carolinas Rehabilitation and her current practice location is
501 Billingsley Rd, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 358-2744.
Marlena Nicole Matusewicz is licensed to practice in North Carolina (license number 4499) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1588705248.
Healthcare Provider's Profile
| Full Name | Marlena Nicole Matusewicz |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 13 Years |
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| Location | 501 Billingsley Rd, Charlotte, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Marlena Nicole Matusewicz graduated from medical school in 2011
NPI Data:
- NPI Number: 1588705248
- Provider Enumeration Date: 02/08/2007
- Last Update Date: 12/28/2016
Medicare PECOS Information:
- PECOS PAC ID: 2567690225
- Enrollment ID: I20140102001239
Medical Identifiers
Medical identifiers for Marlena Nicole Matusewicz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588705248 | NPI | - | NPPES |
| 1588705248 | Medicaid | NC | |
| PS0538 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 4499 (North Carolina) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Carolinas Rehabilitation | 1557256351 | 6 |
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. Marlena Nicole Matusewicz allows following entities to bill medicare on her behalf.
| Entity Name | Carolinas Rehabilitation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821112665
PECOS PAC ID: 1557256351
Enrollment ID: O20040419000763 |
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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. Marlena Nicole Matusewicz 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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Marlena Nicole Matusewicz, PSYD
Po Box 601067,
Charlotte, NC 28260-1067
Ph: (704) 358-2744 | Marlena Nicole Matusewicz, PSYD
501 Billingsley Rd,
Charlotte, NC 28211-1009
Ph: (704) 358-2744 |
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