Matthew Dunham, in Rexburg, ID - Medicare Marriage & Family Therapist Provider

Matthew Dunham, is a medicare enrolled "Marriage & Family Therapist" provider in Rexburg, Idaho. His current practice location is 1120 Stocks Ave Ste 102, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at (801) 896-5345.

Matthew Dunham is licensed to practice in Utah (license number 86348136004) 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 1700159852.

Contact Information

	Matthew Dunham,
	1120 Stocks Ave Ste 102, Rexburg, ID 83440-3508
	(801) 896-5345
	(801) 896-5334

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Dunham
Gender	Male
Speciality	Marriage & Family Therapist
Location	1120 Stocks Ave Ste 102, Rexburg, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700159852
Provider Enumeration Date: 02/21/2012
Last Update Date: 04/12/2024

Medicare PECOS Information:

PECOS PAC ID: 8224480140
Enrollment ID: I20240116004633

Medical Identifiers

Medical identifiers for Matthew Dunham such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700159852	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	Secondary
106H00000X	Marriage & Family Therapist	86348136004 (Utah)	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 Dunham allows following entities to bill medicare on his behalf.

Entity Name	Canvi Behavioral Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144984873 PECOS PAC ID: 0941692073 Enrollment ID: O20220614002943

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 Dunham 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 Dunham, 49 E 200 S, Clearfield, UT 84015-1047 Ph: (801) 779-0095	Matthew Dunham, 1120 Stocks Ave Ste 102, Rexburg, ID 83440-3508 Ph: (801) 896-5345

Reviews and Comments

Marriage & Family Therapist in Rexburg, ID

Mrs. Sharon Joyce Reaser, MFTI Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-4840
Lynn Widdison Scott, M.COUN. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 343 E 4th N Ste 204, Rexburg, ID 83440 Phone: 208-390-2177 Fax: 307-333-0515
Melissa Madelyn Wilson, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 591 N 2nd E, Rexburg, ID 83440 Phone: 208-356-6975
Jefferson Hunt, LAMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 534 Trejo St Ste 200j, Rexburg, ID 83440 Phone: 208-970-4517
Byron H Webster, MS Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5390 S. 3600 East, Rexburg, ID 83440 Phone: 208-356-0480
Noah Daniel Kelsch, M.MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 18 S 1st E, Rexburg, ID 83440 Phone: 208-656-4484
Kelleen Alaine Myers, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 343 E 4th N Ste 207, Rexburg, ID 83440 Phone: 208-243-9304 Fax: 208-656-9304

Matthew Dunham, - Medicare Couples Therapy in Rexburg, ID