Dr Andrea Jensen Matich, MD in Draper, UT

Dr Andrea Jensen Matich, MD is a medicare enrolled "Family Medicine - Sports Medicine" physician in Draper, Utah. She went to Saint Louis University School Of Medicine and graduated in 2005 and has 19 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Mountainstar Specialty Services Llc and her current practice location is 96 E Kimballs Ln Ste 207, Draper, Utah. You can reach out to her office (for appointments etc.) via phone at (801) 576-2300.

Dr Andrea Jensen Matich is licensed to practice in Utah (license number 6354383-1205) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1902092133.

Contact Information

	Dr Andrea Jensen Matich, MD
	96 E Kimballs Ln Ste 207, Draper, UT 84020-5021
	(801) 576-2300
	(844) 249-1746

Map and Direction

Physician's Profile

Full Name	Dr Andrea Jensen Matich
Gender	Female
Speciality	Family Practice
Experience	19 Years
Location	96 E Kimballs Ln Ste 207, Draper, Utah
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Andrea Jensen Matich attended and graduated from Saint Louis University School Of Medicine in 2005

NPI Data:

NPI Number: 1902092133
Provider Enumeration Date: 09/21/2007
Last Update Date: 01/20/2020

Medicare PECOS Information:

PECOS PAC ID: 2860552346
Enrollment ID: I20081114000203

Medical Identifiers

Medical identifiers for Dr Andrea Jensen Matich such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902092133	NPI	-	NPPES
1265638357	Medicaid	UT

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207QS0010X	Family Medicine - Sports Medicine	6354383-1205 (Utah)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Lone Peak Hospital	Draper, UT	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mountainstar Specialty Services Llc	4688767551	30

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 Andrea Jensen Matich allows following entities to bill medicare on her behalf.

Entity Name	Mountainstar Specialty Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265638357 PECOS PAC ID: 4688767551 Enrollment ID: O20070908000097

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 Andrea Jensen Matich 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 Andrea Jensen Matich, MD Po Box 100253, Atlanta, GA 30384-0253 Ph: (801) 568-5972	Dr Andrea Jensen Matich, MD 96 E Kimballs Ln Ste 207, Draper, UT 84020-5021 Ph: (801) 576-2300

Reviews and Comments

Family Medicine Doctors in Draper, UT

Rachel Jane Richard, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12176 S 1000 E Ste 4, Draper, UT 84020 Phone: 801-572-3750
Dr. Gordon Thier Oremland, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12422 S 450 E, Draper, UT 84020 Phone: 801-748-1600 Fax: 801-748-1601
Geoffrey Thomas Osmond, NP Family Medicine Medicare: Medicare Enrolled Practice Location: 11760 S 700 E Ste 112, Draper, UT 84020 Phone: 801-572-1186
Dr. Robert D Williams, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11724 S State St, Draper, UT 84020 Phone: 801-965-3600
Jessica Wilkinson, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13953 S Bangerter Pkwy, Draper, UT 84020 Phone: 385-900-4090 Fax: 801-365-1033
Daniel Trevor Young, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 74 E Kimballs Ln Ste 300, Draper, UT 84020 Phone: 801-572-0311
Harold N Gooch, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 12176 South 1000 East, Draper, UT 84020 Phone: 801-572-3750 Fax: 801-572-1097

Dr Andrea Jensen Matich, MD - Medicare Family Practice in Draper, UT