Matthew J Dzak, PSYD, HSPP is a medicare enrolled "Psychologist - Clinical" provider in Monett, Missouri. His current practice location is
1701 N Central Ave, Monett, Missouri. You can reach out to his office (for appointments etc.) via phone at
(417) 235-6610.
Matthew J Dzak is licensed to practice in Missouri (license number 2020008416) 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 1841544681.
Healthcare Provider's Profile
Full Name | Matthew J Dzak |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 1701 N Central Ave, Monett, Missouri |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1841544681
- Provider Enumeration Date: 11/01/2012
- Last Update Date: 03/20/2023
Medicare PECOS Information:
- PECOS PAC ID: 5991010563
- Enrollment ID: I20200601000889
Medical Identifiers
Medical identifiers for Matthew J Dzak such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841544681 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 076935 (Iowa) | Secondary |
103TC0700X | Psychologist - Clinical | 2020008416 (Missouri) | 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 J Dzak allows following entities to bill medicare on his behalf.
Entity Name | Ozark Tri-county Health Care Consortium |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1265428791 PECOS PAC ID: 8123918257 Enrollment ID: O20040330001501 |
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Entity Name | Clark Community Mental Health Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801807771 PECOS PAC ID: 8527069277 Enrollment ID: O20070123000267 |
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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 J Dzak 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 J Dzak, PSYD, HSPP 104 W Main St, Pierce City, MO 65723-1210 Ph: (417) 476-1000 | Matthew J Dzak, PSYD, HSPP 1701 N Central Ave, Monett, MO 65708 Ph: (417) 235-6610 |
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