Mrs Gisela Marie Matos, RDN, LND is a medicare enrolled "Dietitian, Registered" provider in Aguada, Puerto Rico. Her current practice location is
Carr. 411 Km 2.2 Int. Jagey, Aguada, Puerto Rico. You can reach out to her office (for appointments etc.) via phone at
(787) 362-8219.
Mrs Gisela Marie Matos is licensed to practice in Puerto Rico (license number 86109878) 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 1124613807.
Healthcare Provider's Profile
| Full Name | Mrs Gisela Marie Matos |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | Carr. 411 Km 2.2 Int. Jagey, Aguada, Puerto Rico |
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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: 1124613807
- Provider Enumeration Date: 03/04/2021
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 4688040777
- Enrollment ID: I20221013003806
Medical Identifiers
Medical identifiers for Mrs Gisela Marie Matos such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1124613807 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | 86109878 (Puerto Rico) | 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. Mrs Gisela Marie Matos allows following entities to bill medicare on her behalf.
| Provider Name | Costa Salud Community Health Centers Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1912997768
PECOS PAC ID: 1951370022
Enrollment ID: O20040927000712 |
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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. Mrs Gisela Marie Matos 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 |
|---|
Mrs Gisela Marie Matos, RDN, LND
Hc 60 Box 29240-2,
Aguada, PR 00602-9232
Ph: (787) 362-8219 | Mrs Gisela Marie Matos, RDN, LND
Carr. 411 Km 2.2 Int. Jagey,
Aguada, PR 00602
Ph: (787) 362-8219 |
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