Dr Heather Nicole Matejka, DMD in Kenosha, WI

Dr Heather Nicole Matejka, DMD is a medicare enrolled "Dentist" provider in Kenosha, Wisconsin. Her current practice location is 6226 14th Ave, Kenosha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (815) 861-2354.

Dr Heather Nicole Matejka is licensed to practice in Wisconsin (license number 1002180) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1609424837.

Contact Information

	Dr Heather Nicole Matejka, DMD
	6226 14th Ave, Kenosha, WI 53143-4413
	(815) 861-2354
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Heather Nicole Matejka
Gender	Female
Speciality	Dentist
Location	6226 14th Ave, Kenosha, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609424837
Provider Enumeration Date: 08/30/2019
Last Update Date: 08/30/2019

Medicare PECOS Information:

PECOS PAC ID: 9436481561
Enrollment ID: I20211020001396

Medical Identifiers

Medical identifiers for Dr Heather Nicole Matejka such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609424837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
122300000X	Dentist	1002180 (Wisconsin)	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 Heather Nicole Matejka allows following entities to bill medicare on her behalf.

Entity Name	Peak Vista Community Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1730166034 PECOS PAC ID: 4688583974 Enrollment ID: O20031110000337

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 Heather Nicole Matejka 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 Heather Nicole Matejka, DMD 3909 Farmington Ln, Johnsburg, IL 60051-5175 Ph: (815) 861-2354	Dr Heather Nicole Matejka, DMD 6226 14th Ave, Kenosha, WI 53143-4413 Ph: (815) 861-2354

Reviews and Comments

Dentist in Kenosha, WI

Jane Lynn Reyerson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 7117 Green Bay Rd, Kenosha, WI 53142 Phone: 262-942-7000 Fax: 262-942-7117
Dr. Cesar D Gonzalez, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4536 22nd Ave, Kenosha, WI 53140 Phone: 262-656-0044 Fax: 262-653-2218
Dr. David J. Crewe, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3100 80th St, Kenosha, WI 53142 Phone: 262-694-2932 Fax: 262-694-3575
Dr. Tarah Marie Gerner, D.D.S Dentist Medicare: Medicare Enrolled Practice Location: 6226 14th Ave, Kenosha, WI 53143 Phone: 262-656-0044
Dr. Edmund Jung, Dentist Medicare: Medicare Enrolled Practice Location: 3715 Washington Rd, Kenosha, WI 53144 Phone: 262-654-6800 Fax: 262-657-9995
Dr. Jane Wright, DDS, MS Dentist Medicare: Not Enrolled in Medicare Practice Location: 7851 Cooper Rd, Kenosha, WI 53142 Phone: 262-694-5272
Jasjot Chahil, DDS Dentist Medicare: Medicare Enrolled Practice Location: 6430 Green Bay Rd, Kenosha, WI 53142 Phone: 888-988-4066

Dr Heather Nicole Matejka, DMD - Medicare Dentist in Kenosha, WI