Deepa Mathew, DO in Eatontown, NJ

Deepa Mathew, DO is a medicare enrolled "Pediatrics - Pediatric Endocrinology" physician in Eatontown, New Jersey. Her current practice location is 200 Wyckoff Rd Ste 4200, Eatontown, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 935-7143.

Deepa Mathew is licensed to practice in New Jersey (license number 25MB12259200) 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 1952782096.

Contact Information

	Deepa Mathew, DO
	200 Wyckoff Rd Ste 4200, Eatontown, NJ 07724-0199
	(732) 935-7143
	Not Available

Map and Direction

Physician's Profile

Full Name	Deepa Mathew
Gender	Female
Speciality	Pediatrics - Pediatric Endocrinology
Location	200 Wyckoff Rd Ste 4200, Eatontown, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952782096
Provider Enumeration Date: 06/15/2015
Last Update Date: 06/06/2024

Medicare PECOS Information:

PECOS PAC ID: 5597004259
Enrollment ID: I20200516000060

Medical Identifiers

Medical identifiers for Deepa Mathew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952782096	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0205X	Pediatrics - Pediatric Endocrinology	294354 (New York)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	OS021357 (Pennsylvania)	Secondary
2080P0205X	Pediatrics - Pediatric Endocrinology	25MB12259200 (New Jersey)	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. Deepa Mathew allows following entities to bill medicare on her behalf.

Entity Name	North Shore - Lij Medical Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053688572 PECOS PAC ID: 3375701568 Enrollment ID: O20120220000262

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. Deepa Mathew 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
Deepa Mathew, DO 145 Dixon Ave, Staten Island, NY 10303-2803 Ph: (646) 464-3176	Deepa Mathew, DO 200 Wyckoff Rd Ste 4200, Eatontown, NJ 07724-0199 Ph: (732) 935-7143

Reviews and Comments

Pediatrics Doctors in Eatontown, NJ

Dr. Valerie Niketakis-wujciak, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1 Industrial Way W Bldg C, Eatontown, NJ 07724 Phone: 732-542-6451 Fax: 732-542-1654
Dr. Bindoo Rughani-shah, M.D Pediatrics Medicare: Medicare Enrolled Practice Location: 34 Corbett Way, Eatontown, NJ 07724 Phone: 732-722-2300
Dr. Ashwin Agrawal, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 200 Wyckoff Road, Suite 4200, Eatontown, NJ 07724 Phone: 732-923-6080 Fax: 732-923-6089
Shabnam Maghsood, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 142 Highway 35, Suite 105, Eatontown, NJ 07724 Phone: 732-440-7211 Fax: 732-440-7211
Dr. Golam G. Noaz, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1 Industrial Way West, Suite C, Eatontown, NJ 07724 Phone: 732-542-6451 Fax: 732-542-1654

Deepa Mathew, DO - Medicare Pediatrics in Eatontown, NJ