Dr Evan Matthysse, DDS in Austin, TX - Medicare Dentist Provider

Dr Evan Matthysse, DDS is a medicare enrolled "Dentist - Oral And Maxillofacial Surgery" provider in Austin, Texas. His current practice location is 4419 Frontier Trl Ste 104, Austin, Texas. You can reach out to his office (for appointments etc.) via phone at (917) 817-0803.

Dr Evan Matthysse is licensed to practice in Texas (license number 36043) 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 1205296803.

Contact Information

	Dr Evan Matthysse, DDS
	4419 Frontier Trl Ste 104, Austin, TX 78745-1567
	(917) 817-0803
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Evan Matthysse
Gender	Male
Speciality	Dentist - Oral And Maxillofacial Surgery
Location	4419 Frontier Trl Ste 104, Austin, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205296803
Provider Enumeration Date: 02/25/2016
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9234497306
Enrollment ID: I20240828000176

Medical Identifiers

Medical identifiers for Dr Evan Matthysse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205296803	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	22DI02685300 (New Jersey)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
1223S0112X	Dentist - Oral And Maxillofacial Surgery	36043 (Texas)	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. Dr Evan Matthysse allows following entities to bill medicare on his behalf.

Entity Name	Austin Dental Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699503375 PECOS PAC ID: 9830638469 Enrollment ID: O20240828000190

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. Dr Evan Matthysse 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
Dr Evan Matthysse, DDS 4419 Frontier Trl Ste 104, Austin, TX 78745-1567 Ph: (917) 817-0803	Dr Evan Matthysse, DDS 4419 Frontier Trl Ste 104, Austin, TX 78745-1567 Ph: (917) 817-0803

Reviews and Comments

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Dr Evan Matthysse, DDS - Medicare Dentist in Austin, TX