Matthew Evans, is a medicare enrolled "Social Worker - Clinical" provider in Santa Monica, California. His current practice location is
1328 2nd St, Santa Monica, California. You can reach out to his office (for appointments etc.) via phone at
(310) 394-6889.
Matthew Evans is licensed to practice in California (license number 95384) 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 1194261495.
Healthcare Provider's Profile
| Full Name | Matthew Evans |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 1328 2nd St, Santa Monica, California |
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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: 1194261495
- Provider Enumeration Date: 01/10/2017
- Last Update Date: 07/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 3971043530
- Enrollment ID: I20240910001444
Medical Identifiers
Medical identifiers for Matthew Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194261495 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 76859 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 95384 (California) | 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 Evans allows following entities to bill medicare on his behalf.
| Entity Name | Meridian Counseling |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396202206
PECOS PAC ID: 6305284803
Enrollment ID: O20240403001475 |
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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. Matthew Evans 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 Evans,
1328 2nd St,
Santa Monica, CA 90401-1122
Ph: (310) 394-6889 | Matthew Evans,
1328 2nd St,
Santa Monica, CA 90401-1122
Ph: (310) 394-6889 |
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