Dr Mehdi B Matin, DDS is a medicare enrolled "Oral & Maxillofacial Surgery" provider in San Diego, California. His current practice location is
9855 Erma Rd Ste 100, San Diego, California. You can reach out to his office (for appointments etc.) via phone at
(858) 536-2900.
Dr Mehdi B Matin is licensed to practice in California (license number DDS60860) 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 1487965828.
Healthcare Provider's Profile
| Full Name | Dr Mehdi B Matin |
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| Gender | Male |
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| Speciality | Oral & Maxillofacial Surgery |
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| Location | 9855 Erma Rd Ste 100, San Diego, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1487965828
- Provider Enumeration Date: 06/30/2010
- Last Update Date: 05/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 2365769114
- Enrollment ID: I20160816002319
Medical Identifiers
Medical identifiers for Dr Mehdi B Matin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487965828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DR 60288665 (Washington) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DR60288665 (Washington) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 12011690A (Indiana) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | DDS60860 (California) | 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 Mehdi B Matin allows following entities to bill medicare on his behalf.
| Entity Name | University Of Washington |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326002049
PECOS PAC ID: 3274445150
Enrollment ID: O20040105000544 |
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| Entity Name | Harborview Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568557312
PECOS PAC ID: 3971404716
Enrollment ID: O20040115000760 |
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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 Mehdi B Matin 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 |
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Dr Mehdi B Matin, DDS
11921 Carmel Creek Rd Apt 310,
San Diego, CA 92130-2659
Ph: (206) 486-4946 | Dr Mehdi B Matin, DDS
9855 Erma Rd Ste 100,
San Diego, CA 92131-1007
Ph: (858) 536-2900 |
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