Theresa Marie Matocha, LISCW is a medicare enrolled "Social Worker - Clinical" provider in Eureka, California. She graduated from healthcare school in 1990 and has 35 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
3015 Hubbard Ln, Ste 7, Eureka, California. You can reach out to her office (for appointments etc.) via phone at
(802) 425-8101.
Theresa Marie Matocha is licensed to practice in Vermont (license number 089.0089650) 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 1639415300.
Healthcare Provider's Profile
| Full Name | Theresa Marie Matocha |
|---|
| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 35 Years |
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| Location | 3015 Hubbard Ln, Eureka, California |
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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:
- Theresa Marie Matocha graduated from medical school in 1990
NPI Data:
- NPI Number: 1639415300
- Provider Enumeration Date: 12/27/2012
- Last Update Date: 11/10/2021
Medicare PECOS Information:
- PECOS PAC ID: 3476799008
- Enrollment ID: I20201027000961
Medical Identifiers
Medical identifiers for Theresa Marie Matocha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639415300 | NPI | - | NPPES |
| 089.0089650 | Other | VT | STATE OF VT |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 089.0089650 (Vermont) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089.0089650 (Vermont) | 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. Theresa Marie Matocha 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 |
|---|
Theresa Marie Matocha, LISCW
3015 Hubbard Ln, Ste 7,
Eureka, CA 95501-4803
Ph: (802) 349-2202 | Theresa Marie Matocha, LISCW
3015 Hubbard Ln, Ste 7,
Eureka, CA 95501-4803
Ph: (802) 425-8101 |
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