Ms Phyllis Rena Mathis, is a
Case Management based in Fort Lauderdale, Florida. Ms Phyllis Rena Mathis is licensed to practice in * (Not Available) (license number ) and her current practice location is
2881 E Oakland Park Blvd, Ste.317, Fort Lauderdale, Florida. She can be reached at her office (for appointments etc.) via phone at
(954) 315-1752.
NPI number for Ms Phyllis Rena Mathis is 1710206487 and her current mailing address is 809 Ne 23rd Dr, Apt. 4, Wilton Manors, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1710206487.
Healthcare Provider's Profile
| Full Name | Ms Phyllis Rena Mathis |
|---|
| Gender | Female |
|---|
| Speciality | Case Management |
|---|
| Location | 2881 E Oakland Park Blvd, Fort Lauderdale, Florida |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1710206487
- Provider Enumeration Date: 05/20/2010
- Last Update Date: 06/27/2011
Medical Identifiers
Medical identifiers for Ms Phyllis Rena Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710206487 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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. Ms Phyllis Rena Mathis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Phyllis Rena Mathis,
809 Ne 23rd Dr, Apt. 4,
Wilton Manors, FL 33305-1277
Ph: (954) 513-7275 | Ms Phyllis Rena Mathis,
2881 E Oakland Park Blvd, Ste.317,
Fort Lauderdale, FL 33306-1813
Ph: (954) 315-1752 |
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