Dr Ippolit C Matjucha, MD is a
Ophthalmology physician based in Sudbury, Massachusetts. Dr Ippolit C Matjucha is licensed to practice in Massachusetts (license number 80011) and his current practice location is 36 Mark Ln, Sudbury, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(978) 440-8729.
NPI number for Dr Ippolit C Matjucha is 1811098023 and his current mailing address is 36 Mark Ln, Sudbury, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1811098023.
Physician's Profile
| Full Name | Dr Ippolit C Matjucha |
|---|
| Gender | Male |
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| Speciality | Ophthalmology |
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| Location | 36 Mark Ln, Sudbury, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1811098023
- Provider Enumeration Date: 09/26/2006
- Last Update Date: 01/06/2011
Medical Identifiers
Medical identifiers for Dr Ippolit C Matjucha such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1811098023 | NPI | - | NPPES |
| 3128059 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207W00000X | Ophthalmology | 80011 (Massachusetts) | Primary |
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 Ippolit C Matjucha is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Ippolit C Matjucha, MD
36 Mark Ln,
Sudbury, MA 01776-1677
Ph: (978) 440-8729 | Dr Ippolit C Matjucha, MD
36 Mark Ln,
Sudbury, MA 01776-1677
Ph: (978) 440-8729 |
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