William Richard Mathis, MA is a
Psychologist based in Pembroke, North Carolina. William Richard Mathis is licensed to practice in North Carolina (license number 0537) and his current practice location is
171 Comtech Dr, Pembroke, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(910) 736-3351.
NPI number for William Richard Mathis is 1093049199 and his current mailing address is 402 Pinelake Park Rd, Pembroke, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1093049199.
Healthcare Provider's Profile
Full Name | William Richard Mathis |
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Gender | Male |
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Speciality | Psychologist |
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Location | 171 Comtech Dr, Pembroke, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1093049199
- Provider Enumeration Date: 09/23/2009
- Last Update Date: 12/17/2009
Medical Identifiers
Medical identifiers for William Richard Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1093049199 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 0537 (North Carolina) | Secondary |
103K00000X | Behavior Analyst | 0537 (North Carolina) | Secondary |
103T00000X | Psychologist | 0537 (North Carolina) | Primary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 537 (North Carolina) | Secondary |
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 0537 (North Carolina) | Secondary |
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. William Richard 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 |
William Richard Mathis, MA 402 Pinelake Park Rd, Pembroke, NC 28372-9212 Ph: (910) 258-7796 | William Richard Mathis, MA 171 Comtech Dr, Pembroke, NC 28372-7270 Ph: (910) 736-3351 |
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